Syrengelas, Athanasia D
Syrengelas, Athanasia D is an individual health care provider with primary practice located at 210 New London Tpke , Glastonbury CT 06033-2235. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Syrengelas, Athanasia D can be contacted via phone (860) 633-1543.Contact Information
Primary practice address
210 New London Tpke
Glastonbury CT 06033-2235
Phone: (860) 633-1543
Fax: (860) 659-9755
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 041159 | Connecticut |
Profile Details
| NPI number | 1417942715 |
|---|---|
| LBN Legal business name | Syrengelas, Athanasia D |
| Credentials | MD PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1417942715 | NPPES |
| Connecticut | Other | 041159 | CONNECTICARE |
| Connecticut | Other | 010041159CT02 | CONNECTICARE |
| Connecticut | Other | 3681270 | CONNECTICARE |
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