D'Souza, Bernard Tuodor
D'Souza, Bernard Tuodor is an individual health care provider with primary practice located at 56 Franklin St St Mary'S Hospital , Department Of Medicine, Waterbury CT 06706-1253. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. D'Souza, Bernard Tuodor can be contacted via phone (203) 709-6424.Contact Information
Primary practice address
56 Franklin St St Mary'S Hospital , Department Of Medicine
Waterbury CT 06706-1253
Phone: (203) 709-6424
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 048267 | Connecticut |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 48267 | Connecticut |
Profile Details
| NPI number | 1104098789 |
|---|---|
| LBN Legal business name | D'Souza, Bernard Tuodor |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2008 |
| Last updated | Oct 22nd, 2021 - about 5 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 | 1104098789 | NPPES |
| Connecticut | Other | 9852543 | AETNA |
| Connecticut | Other | 61470493 | AETNA |
| Connecticut | MEDICAID | 008017075 | AETNA |
| Connecticut | Other | 1137283 | AETNA |
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