Aferzon, Mark
Aferzon, Mark is an sole proprietor health care provider with primary practice located at 2 Ivy Brook Rd Suite 110, Shelton CT 06484-6416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Aferzon, Mark can be contacted via phone (203) 954-0019.Contact Information
Primary practice address
2 Ivy Brook Rd Suite 110
Shelton CT 06484-6416
Phone: (203) 954-0019
Fax: (203) 954-0018
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 040095 | Connecticut |
Profile Details
| NPI number | 1114956380 |
|---|---|
| LBN Legal business name | Aferzon, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2006 |
| Last updated | Oct 16th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114956380 | NPPES |
| Connecticut | MEDICAID | 001400952 |
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