Blau, Kenneth Paul

Blau, Kenneth Paul is an individual health care provider with primary practice located at 94 Locust Ave , Danbury CT 06810-6032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Blau, Kenneth Paul can be contacted via phone (203) 748-6000.

Contact Information

Primary practice address
94 Locust Ave Danbury CT 06810-6032
Phone: (203) 748-6000
Fax: (203) 748-6771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 024414 Connecticut

Profile Details

NPI number 1780694919
LBN Legal business name Blau, Kenneth Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jul 15th, 2022 - about 4 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 1780694919 NPPES
Connecticut MEDICAID 001244144

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