Altice, Frederick Lewis

Altice, Frederick Lewis is an individual health care provider with primary practice located at 789 Howard Ave Dana Bldg - 3Rd Fl, New Haven CT 06519-1304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Altice, Frederick Lewis can be contacted via phone (203) 785-4140.

Contact Information

Primary practice address
789 Howard Ave Dana Bldg - 3Rd Fl New Haven CT 06519-1304
Phone: (203) 785-4140
Fax: (203) 737-4051
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 030743 Connecticut

Profile Details

NPI number 1710960158
LBN Legal business name Altice, Frederick Lewis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Jul 21st, 2022 - about 2 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 1710960158 NPPES
Connecticut MEDICAID 001307439

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