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ANN M SOUSA DO
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1073541538
Individual Registrant: ANN M SOUSA DO
Gender: F
Not Sole Proprietor
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
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: --
Tel: -- Fax: --
Registration Information:
NPI: 1073541538
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | CT | 041639 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| CIGNA | 5999285 | CT | 01 |
| CONNECTICARE | 041639 | CT | 01 |
| AETNA | 3425912 | CT | 01 |
| ANTHEM BC & BS OF CT | 040041639CT04 | CT | 01 |
| HEALTH NET | 2V6789 | CT | 01 |
