Doctor Name: | ANTHONY W D'SOUZA |
NPI Number: | 1073560736 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 023268 |
Business Practice Address: | 4 Corporate Dr Suite 100 Shelton, CT - 064846211 |
Business Phone Number: | 2039299799 |
Business Fax Number: | 2039258264 |
Mailing Address: | 4 Corporate Dr, Suite 100 SHELTON |
State: | CT |
Postal Code: | 064846211 |
Phone Number: | 2039299799 |
Fax Number: | 2039258264 |
NPI Enumeration Date: | 05/28/2006 |
NPI Last Update Date: | 11/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207UN0901X |
License Number: | 023268 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Nuclear Medicine |
Taxonomy Specialization: | Nuclear Cardiology |
Taxonomy Definition: | A nuclear medicine physician who specializes in nuclear cardiology. |