Ogorman Dudley, Mary

Ogorman Dudley, Mary is an individual health care provider with primary practice located at 800 Howard Avenue Yale Physicians Building, New Haven CT 06519. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Ogorman Dudley, Mary can be contacted via phone (203) 785-2140.

Contact Information

Primary practice address
800 Howard Avenue Yale Physicians Building New Haven CT 06519
Phone: (203) 785-2140
Fax: (203) 785-6414
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 001686 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 001686 Connecticut

Profile Details

NPI number 1871576314
LBN Legal business name Ogorman Dudley, Mary
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Apr 20th, 2017 - about 7 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 1871576314 NPPES
Connecticut MEDICAID 004244290

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