Congdon, Sandra Thornton
Congdon, Sandra Thornton is an individual health care provider with primary practice located at 112 Quarry Rd 3Rd Floor, Trumbull CT 06611-4816. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Congdon, Sandra Thornton can be contacted via phone (203) 374-1515.Contact Information
Primary practice address
112 Quarry Rd 3Rd Floor
Trumbull CT 06611-4816
Phone: (203) 374-1515
Fax: (203) 374-4702
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 029698 | Connecticut |
Profile Details
| NPI number | 1609881432 |
|---|---|
| LBN Legal business name | Congdon, Sandra Thornton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Sep 3rd, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609881432 | NPPES |
| Connecticut | MEDICAID | 001296989 |
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