Burrell, Morton I

Burrell, Morton I is an individual health care provider with primary practice located at 20 York St , New Haven CT 06510-3220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Burrell, Morton I can be contacted via phone (203) 785-2425.

Contact Information

Primary practice address
20 York St New Haven CT 06510-3220
Phone: (203) 785-2425
Fax: (203) 688-9258
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X BB3339341 Connecticut

Profile Details

NPI number 1912988221
LBN Legal business name Burrell, Morton I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Aug 4th, 2008 - about 16 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 1912988221 NPPES
Connecticut MEDICAID 001149772

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