Deshpande, Judith Ann

Deshpande, Judith Ann is an individual health care provider with primary practice located at 300 Boston Post Rd Attn: Health Services, West Haven CT 06516-1916. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Deshpande, Judith Ann can be contacted via phone (203) 932-7079.

Contact Information

Primary practice address
300 Boston Post Rd Attn: Health Services West Haven CT 06516-1916
Phone: (203) 932-7079
Fax: (203) 931-6090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 002853 Connecticut

Profile Details

NPI number 1528008489
LBN Legal business name Deshpande, Judith Ann
Credentials APRN-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Aug 21st, 2015 - about 11 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 1528008489 NPPES
Connecticut MEDICAID 004251857
Connecticut Other 223514271
Connecticut Other 2V4674
Connecticut Other 020853
Connecticut Other A752119
Connecticut Other 400002853CT01

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