Santos, Maria Theresa

Santos, Maria Theresa is an individual health care provider with primary practice located at 711 Cottage Grove Road , Bloomfield CT 06002-3060. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Santos, Maria Theresa can be contacted via phone (860) 242-8756.

Contact Information

Primary practice address
711 Cottage Grove Road Bloomfield CT 06002-3060
Fax: (860) 242-3052
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 053575 Connecticut

Profile Details

NPI number 1821316274
LBN Legal business name Santos, Maria Theresa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2010
Last updated Oct 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821316274 NPPES
Connecticut Other D400221345 MEDICARE
Connecticut MEDICAID 008057720 MEDICARE
Connecticut Other P01712135 MEDICARE

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