Yasuda, Thomas Junichiro

Yasuda, Thomas Junichiro is an individual health care provider with primary practice located at 2 Trap Falls Rd Ste 200 , Shelton CT 06484-4616. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Yasuda, Thomas Junichiro can be contacted via phone (203) 929-7353.

Contact Information

Primary practice address
2 Trap Falls Rd Ste 200 Shelton CT 06484-4616
Fax: (860) 289-0746
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 026558 Connecticut

Profile Details

NPI number 1659359198
LBN Legal business name Yasuda, Thomas Junichiro
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Apr 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659359198 NPPES
Connecticut MEDICAID 001265687

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