Srodon, Monica
Srodon, Monica is an individual health care provider with primary practice located at 71 Haynes St , Manchester CT 06040-4131. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Srodon, Monica can be contacted via phone (860) 647-6487.Contact Information
Primary practice address
71 Haynes St
Manchester CT 06040-4131
Phone: (860) 647-6487
Fax: (860) 647-6447
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 046164 | Connecticut |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 046164 | Connecticut |
Profile Details
| NPI number | 1568457893 |
|---|---|
| LBN Legal business name | Srodon, Monica |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Sep 13th, 2022 - about 3 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 | 1568457893 | NPPES |
| Connecticut | Other | A524580 | OXFORD |
| Connecticut | Other | 11-04296 | OXFORD |
| Connecticut | Other | 500HBL161CT01 | OXFORD |
| Connecticut | MEDICAID | 008001162 | OXFORD |
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