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Contact Information

MARY ANN S PUDIMAT, MD
61 EMERALD GLEN LANE
SALEM, CT06420
 Phone: 860-887-9073
 Fax: 860-887-9073
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for MARY ANN S PUDIMAT · (Female)

NPI Number 1558354902
Status Active
Credentials MD
Entity Individual
Enumeration date 08/31/2005
Last updated 03/16/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 037961
  • CT Medicaid 001379610
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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