Agin, Elliot David

Agin, Elliot David is an individual health care provider with primary practice located at 849 Boston Post Rd 200, Milford CT 06460-3537. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Agin, Elliot David can be contacted via phone (203) 874-1512.

Contact Information

Primary practice address
849 Boston Post Rd 200 Milford CT 06460-3537
Fax: (203) 874-3877
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25364 Connecticut

Profile Details

NPI number 1790729093
LBN Legal business name Agin, Elliot David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Dec 16th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790729093 NPPES
Connecticut MEDICAID 1253640

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