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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710960158 | NPPES |
| Connecticut | MEDICAID | 001307439 |
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