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 8 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
-
Genova, Emilia
2800 Main St Dept Of Surgery, Bridgeport CT 06606-4201 -
Brutus, Valerie
2800 Main St , Bridgeport CT 06606-4201 -
Lovanio, Richard Gabriel
2660 Main St Suite 110, Bridgeport CT 06606-5369 -
Marcus, Stuart
2800 Main St St. Vincent'S Medical Center, Bridgeport CT 06606-4201 -
Atweh, Nabil A
226 Mill Hill Ave 3Rd Floor, Bridgeport CT 06610-2811 -
Bharucha, Jitendra Bhagwandas
2660 Main St Suite 110, Bridgeport CT 06606-5369 -
Kettyle, Shawna Marie
2800 Main St Dept Of , Bridgeport CT 06606 -
Butler, William R
226 Mill Hill Ave 3Rd Floor, Bridgeport CT 06610-2811