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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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 1568457893 NPPES
Connecticut Other A524580 OXFORD
Connecticut Other 11-04296 OXFORD
Connecticut Other 500HBL161CT01 OXFORD
Connecticut MEDICAID 008001162 OXFORD

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