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Contact Information

JEFFREY T PRAVDA, MD
863 N. MAIN ST. EXT.
SUITE 200
WALLINGFORD, CT06492-1832
 Phone: 203-265-3280
 Fax: 203-741-6569
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JEFFREY T PRAVDA · (Male)

NPI # 1407879521
Status Active
Credentials MD
Entity Individual
Enumeration date 07/26/2006
Last updated 07/11/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 030667
  • CT Medicaid 001306671
Hospital affiliation(s)
  • MIDSTATE MEDICAL CENTER - (Acute Care)
    435 LEWIS AVE
    MERIDEN, CT 06450
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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