MARY T PRONOVOST

BRIDGEPORT, CT
NPI1851350011
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: CT  037703)
Enumeration Date2006-03-17
Last Update Date2016-09-16
Business Address
-- MARY T PRONOVOST M.D.
226 MILL HILL AVE 3RD FLOOR
BRIDGEPORT, CT 06610-2811
Phone number: 203-384-3873
Mailing Address
-- MARY T PRONOVOST M.D.
5520 PARK AVE SUITE 101
TRUMBULL, CT 06611-3463
Phone number: 203-254-2381