Individual
JOSEPH SOUFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 CHASE PKWY, 3RD FL, WATERBURY, CT 06708-3346
(203) 574-2930
(203) 574-2933
Mailing address
500 CHASE PKWY, 3RD FL, WATERBURY, CT 06708-3346
(203) 574-2930
(203) 574-2933
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
021347
CT
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
021347
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010021347CT01
ANTHEM
CT
01
—
0R0493
HEALTHNET
—
01
—
110175854
RAILROAD MEDICARE
CT
01
—
2190089
AETNA
—
01
—
761254
CONNECTICARE
—
Enumeration date
07/24/2006
Last updated
09/14/2011
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