Individual
MONICA SRODON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 647-6487
(860) 647-6447
Mailing address
PO BOX 206, NEW HAVEN, CT 06501-0206
(203) 397-8000
(203) 389-1540
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
046164
CT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
046164
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008001162
—
CT
01
—
11-04296
UNITED HEALTHCARE
CT
01
—
500HBL161CT01
BLUE CROSS
CT
01
—
A524580
OXFORD
CT
Enumeration date
09/13/2005
Last updated
09/13/2022
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