Spudich, Serena Susan

Spudich, Serena Susan is an sole proprietor health care provider with primary practice located at 15 York St Department Of Neurology, New Haven CT 06510-3221. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Spudich, Serena Susan can be contacted via phone (203) 737-1969.

Contact Information

Primary practice address
15 York St Department Of Neurology New Haven CT 06510-3221
Phone: (203) 737-1969
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X A82451 California

Profile Details

NPI number 1851345300
LBN Legal business name Spudich, Serena Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2006
Last updated Aug 26th, 2012 - about 13 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 1851345300 NPPES
California MEDICAID 00A824510

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