Mary T Pronovost is a Surgery in Bridgeport, Connecticut. Mary T Pronovost practices all healthcare services and medical treatments related to Surgery. The NPI Number for Mary T Pronovost is 1851350011. The last update date is 2016-09-16.
Mary T Pronovost's current location address is 226 Mill Hill Ave, Bridgeport, Connecticut. You can contact this provider via phone number 2033843873 and fax number 2033843829. The mailing address for Mary T Pronovost is 226 Mill Hill Ave, Bridgeport, Connecticut. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mary T Pronovost |
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Address | 226 Mill Hill Ave, Bridgeport, Connecticut |
Phone Number | 2033843873 |
Fax Number | 2033843829 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1851350011 |
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Provider Enumeration Date | 2006-03-17 |
Last Updated Date | 2016-09-16 |
Provider Mailing Address Detail
Address | 226 Mill Hill Ave |
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City | Bridgeport |
State | Connecticut (CT) |
Post Code | 66102811 |
Phone Number | 2033843873 |
Fax Number | 2033843829 |
Provider's Primary Taxonomy Detail
Speciality | Surgery |
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Taxonomy | 208600000X |
Licence No | 37703 |
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1377036 | CT | -- |
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What is the unique identifier code issued to Mary T Pronovost by the Centers for Medicare & Medicaid Services?
The Mary T Pronovost has been assigned the NPI (National Provider Identifier) 1851350011. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mary T Pronovost?
The Mary T Pronovost is situated at 226 Mill Hill Ave, in the city of Bridgeport, state of CT, with the zip code 66102811.
What is the Mary T Pronovost's area of specialization and corresponding taxonomy classification?
The Mary T Pronovost's specialty field is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1851350011 to Mary T Pronovost?
The Centers for Medicare & Medicaid Services assigned the 1851350011 to Mary T Pronovost on 2006-03-17.
As of what date were the Mary T Pronovost's details last updated?
The information pertaining to the Mary T Pronovost, including its address, specialty, and other details, was most recently updated on 2016-09-16.
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