CEPHAS P SWAMIDOSS
Physician/surgeon


Address: 370 Central Park West, New York, NY 10025

CEPHAS P SWAMIDOSS (Credential# 552250) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 30, 1995. The license expiration date date is February 28, 2005. The license status is PENDING.

Business Overview

CEPHAS P SWAMIDOSS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034654. The credential type is physician/surgeon. The effective date is June 30, 1995. The expiration date is February 28, 2005. The business address is 370 Central Park West, New York, NY 10025. The current status is pending.

Basic Information

Licensee Name CEPHAS P SWAMIDOSS
Credential ID 552250
Credential Number 1.034654
Credential Type Physician/Surgeon
Business Address 370 Central Park West
New York
NY 10025
Business Type INDIVIDUAL
Status PENDING - REINSTATEMENT PENDING
Issue Date 1995-06-30
Effective Date 1995-06-30
Expiration Date 2005-02-28
Refresh Date 2020-06-03

Other licenses

ID Credential Code Credential Type Issue Term Status
184379 CSP.0025943 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2003-03-03 - 2004-02-28 INACTIVE

Office Location

Street Address 370 CENTRAL PARK WEST
City NEW YORK
State NY
Zip Code 10025

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City NEW YORK
Zip Code 10025
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW YORK

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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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