ANA MAFALDA ANDRADE TUDELA MARTINS
Physician/surgeon


Address: 320 Pomfret St, Putnam, CT 06260-1836

ANA MAFALDA ANDRADE TUDELA MARTINS (Credential# 1663144) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.

Business Overview

ANA MAFALDA ANDRADE TUDELA MARTINS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063907. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 320 Pomfret St, Putnam, CT 06260-1836. The current status is active.

Basic Information

Licensee Name ANA MAFALDA ANDRADE TUDELA MARTINS
Credential ID 1663144
Credential Number 1.063907
Credential Type Physician/Surgeon
Business Address 320 Pomfret St
Putnam
CT 06260-1836
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-07-12
Effective Date 2020-04-01
Expiration Date 2021-03-31
Refresh Date 2020-03-09

Other licenses

ID Credential Code Credential Type Issue Term Status
1677640 CSP.0072038 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2019-07-23 2019-07-23 - 2021-02-28 ACTIVE

Office Location

Street Address 320 POMFRET ST
City PUTNAM
State CT
Zip Code 06260-1836

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Day Kimball Hospital 320 Pomfret St, Putnam, CT 06260-1836 General Hospital 2019-10-01 ~ 2021-09-30
Gino C Bottino 320 Pomfret St, Putnam, CT 06260-1836 Physician/surgeon 2020-07-01 ~ 2021-06-30
Marc B Cerrone 320 Pomfret St, Putnam, CT 06260 Physician/surgeon 2020-04-01 ~ 2021-03-31
Anthony Chieffalo 320 Pomfret St, Putnam, CT 06260-1836 Physician/surgeon 2020-04-01 ~ 2021-03-31
Amna Aziz 320 Pomfret St, Putnam, CT 06260-1836 Physician/surgeon 2020-04-01 ~ 2021-03-31
Ronald J Franzino Md 320 Pomfret St, Putnam, CT 06260 Physician/surgeon 2020-04-01 ~ 2021-03-31
Day Kimball Hospital 320 Pomfret St, Putnam, CT 06260-1836 Controlled Substance Registration for Hospitals 2019-03-01 ~ 2021-02-28
Susan Brazille 320 Pomfret St, Putnam, CT 06260-1836 Controlled Substance Registration for Practitioner 2019-12-09 ~ 2021-02-28
James S Peng 320 Pomfret St, Putnam, CT 06260-1836 Controlled Substance Registration for Practitioner 2019-09-03 ~ 2021-02-28
Ernesto Sire Diaz 320 Pomfret St, Putnam, CT 06260-1836 Controlled Substance Registration for Practitioner 2019-08-23 ~ 2021-02-28
Find all Licenses in the same address

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Juan M Perez Velazquez Day Kimball Hospital, Putnam, CT 06260-1836 Physician/surgeon 2018-07-01 ~ 2019-06-30
Sagar Verma 320 Pomfret Street, Putnam, CT 06260-1836 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Amanda L Neal 69 Hawkins Road, Putnam, CT 06260 Professional Counselor 2020-08-01 ~ 2021-07-31
Kellys Tire Inc 306 School St, Putnam, CT 06260 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Donna Dumas 19 Arthur Street, Putnam, CT 06260 Medication Administration Certification 2020-07-16 ~ 2022-07-15
Mcdonalds #13538 6 Rpovidence Pike, Putnam, CT 06260 Frozen Dessert Retailer 2020-06-22 ~ 2020-12-31
Cynthia C Paquin 95 Elvira Heights Road, Putnam, CT 06260 Dental Hygienist 2018-11-01 ~ 2019-10-31
Scott J Grimmett · Price Chopper 251 Kennedy Drive Ste A, Putnam, CT 06260 Grocery Beer 2020-08-08 ~ 2021-08-07
Lyne A Grillo · Fauteux 73-155 Perry St, Putnam, CT 06260 Radiographer 2020-09-01 ~ 2021-08-31
Crossings Restaurant and Brew Pub (the) 45-47 Main St, Putnam, CT 06260 Manufacturer for Beer and Brew Pub 2019-11-26 ~ 2021-03-25
June Elizabeth Foley 4 Libertyhighway, Putnam, CT 06260 Licensed Clinical Social Worker 2020-07-01 ~ 2021-06-30
Kevin J Bates · K J B Bldg Works 7 Rowe St, Putnam, CT 06260 Home Improvement Contractor 2020-06-12 ~ 2020-11-30
Find all Licenses in zip 06260

Competitor

Search similar business entities

City PUTNAM
Zip Code 06260
License Type Physician/Surgeon
License Type + County Physician/Surgeon + PUTNAM

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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