Dabu Bondoc, Susan M

Dabu Bondoc, Susan M is an individual health care provider with primary practice located at 20 York St Ynhh Tompkins Building - 3Rd Floor, New Haven CT 06510-3220. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Dabu Bondoc, Susan M can be contacted via phone (203) 785-2802.

Contact Information

Primary practice address
20 York St Ynhh Tompkins Building - 3Rd Floor New Haven CT 06510-3220
Phone: (203) 785-2802
Fax: (203) 785-6664
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 037047 Connecticut

Profile Details

NPI number 1922080662
LBN Legal business name Dabu Bondoc, Susan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Jun 26th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922080662 NPPES
Connecticut MEDICAID 001370478

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