Cherniack, Martin G

Cherniack, Martin G is an individual health care provider with primary practice located at 263 Farmington Ave , Farmington CT 06030-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine, which is considered as his primary health care specialty. Cherniack, Martin G can be contacted via phone (860) 679-2893.

Contact Information

Primary practice address
263 Farmington Ave Farmington CT 06030-0001
Phone: (860) 679-2893
Fax: (860) 679-4587
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine 2083P0500X 027278 Connecticut

Profile Details

NPI number 1134125529
LBN Legal business name Cherniack, Martin G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jul 11th, 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 1134125529 NPPES
Connecticut MEDICAID 1272781

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