Ganeles, Carolyn Rand
Ganeles, Carolyn Rand is an individual health care provider with primary practice located at 705 Bloomfield Ave Suite 101, Bloomfield CT 06002-2479. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ganeles, Carolyn Rand can be contacted via phone (860) 286-0444.Contact Information
Primary practice address
705 Bloomfield Ave Suite 101
Bloomfield CT 06002-2479
Phone: (860) 286-0444
Fax: (860) 286-0464
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 035745 | Connecticut |
Profile Details
| NPI number | 1154329738 |
|---|---|
| LBN Legal business name | Ganeles, Carolyn Rand |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Jun 5th, 2013 - about 12 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 | 1154329738 | NPPES |
| Connecticut | MEDICAID | 001357450 |
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