Individual
LESLIE E SUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
105 WALL ST, MADISON, CT 06443
(203) 245-7341
(203) 245-0530
Mailing address
2080 WHITNEY AVE, HAMDEN, CT 06518-3600
(203) 789-3434
(203) 867-8206
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
043683
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004239118
—
CT
Enumeration date
12/05/2006
Last updated
06/14/2016
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