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Contact Information

BERNARD T DSOUZA
56 FRANKLIN ST
ST MARY'S HOSPITAL , DEPARTMENT OF MEDICINE
WATERBURY, CT06706-1253
 Phone: 203-709-6424
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BERNARD T DSOUZA · (Male)

NPI # 1104098789
Status Active
Credentials
Entity Individual
Enumeration date 03/24/2008
Last updated 10/22/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 048267
  • CT License # 48267
  • CT Medicaid 008017075
  • CT Other 9852543 AETNA
  • CT Other 61470493 UHC
  • CT Other 1137283 WELLCARE
Hospital affiliation(s)
  • SAINT MARYS HOSPITAL - (Acute Care)
    56 FRANKLIN ST
    WATERBURY, CT 06706
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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