Individual
MS. SUJATA PENDYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
761 MAIN AVE, SUITE 100, NORWALK, CT 06851-1178
(203) 644-1100
(203) 644-1111
Mailing address
761 MAIN AVE, SUITE 100, NORWALK, CT 06851-1178
(203) 644-1100
(203) 644-1111
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
231656-1
NY
207V00000X
Obstetrics & Gynecology Physician
Primary
045875
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231656-1
LICENSE
NY
Enumeration date
10/20/2006
Last updated
03/07/2023
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