Pronovost, Mary T
Pronovost, Mary T is an individual health care provider with primary practice located at 226 Mill Hill Ave 3Rd Floor, Bridgeport CT 06610-2811. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Pronovost, Mary T can be contacted via phone (203) 384-3873.Contact Information
Primary practice address
226 Mill Hill Ave 3Rd Floor
Bridgeport CT 06610-2811
Phone: (203) 384-3873
Fax: (203) 384-3829
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 037703 | Connecticut |
Profile Details
| NPI number | 1851350011 |
|---|---|
| LBN Legal business name | Pronovost, Mary T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Sep 16th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851350011 | NPPES |
| Connecticut | MEDICAID | 001377036 |
Popular Providers
-
Butler, William R
226 Mill Hill Ave 3Rd Floor, Bridgeport CT 06610-2811 -
Vancott, Christine Elizabeth
2800 Main St Dept Of Surgery, Bridgeport CT 06606-4201 -
Atweh, Nabil A
226 Mill Hill Ave 3Rd Floor, Bridgeport CT 06610-2811 -
Genova, Emilia
2800 Main St Dept Of Surgery, Bridgeport CT 06606-4201 -
Garvey, Richard J
310 Mill Hill Ave , Bridgeport CT 06610-2863 -
Mpuku, Felix B
3180 Main St Suite 305, Bridgeport CT 06606 -
Bharucha, Jitendra Bhagwandas
2660 Main St Suite 110, Bridgeport CT 06606-5369 -
Manjoney, Vincent A
2720 Main St 3Rd Floor South, Bridgeport CT 06606-5308