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ANN M SOUSA DO

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1073541538

Individual Registrant:
 ANN M SOUSA DO
Gender: F
Not Sole Proprietor

Location and contact information for practice:
105 MAIN ST  HEBRON, CT 06248-1519 US
Tel: 860-228-1119  Fax: 860-228-4314

Contact information for business:
105 MAIN ST PO BOX 636 HEBRON, CT 06248-1519 US
Tel: --  Fax: --

Registration Information:
NPI: 1073541538
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CT041639

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CIGNA5999285CT01
CONNECTICARE041639CT01
AETNA3425912CT01
ANTHEM BC & BS OF CT040041639CT04CT01
HEALTH NET2V6789CT01




HEALTH CARE JOBS CT - Page 1



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