Individual
AUGUSTO H PODESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 SHELBURNE RD, STAMFORD, CT 06902-3628
(203) 276-7424
Mailing address
PO BOX 60100, CHARLESTON, SC 29419-0100
(203) 656-1124
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
27991
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001279919
—
CT
Enumeration date
06/06/2006
Last updated
10/18/2010
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