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Contact Information

AUGUSTO H PODESTA, MD
30 SHELBURNE RD
STAMFORD, CT06902-3628
 Phone: 203-276-7424
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for AUGUSTO H PODESTA · (Male)

NPI Number 1073552642
Status Active
Credentials MD
Entity Individual
Enumeration date 06/06/2006
Last updated 10/18/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 27991
  • CT Medicaid 001279919
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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