Individual
DR. BERNARD TUODOR D'SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
56 FRANKLIN ST, ST MARY'S HOSPITAL , DEPARTMENT OF MEDICINE, WATERBURY, CT 06706-1253
(203) 709-6424
Mailing address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
048267
CT
208M00000X
Hospitalist Physician
Primary
48267
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008017075
—
CT
01
—
1137283
WELLCARE
CT
01
—
61470493
UHC
CT
01
—
9852543
AETNA
CT
Enumeration date
03/24/2008
Last updated
10/22/2021
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