Gavin, James Patrick

Gavin, James Patrick is an sole proprietor health care provider with primary practice located at 7 Cambridge Dr Ste 201 , Trumbull CT 06611-4763. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Gavin, James Patrick can be contacted via phone (203) 335-0195.

Contact Information

Primary practice address
7 Cambridge Dr Ste 201 Trumbull CT 06611-4763
Phone: (203) 335-0195
Fax: (203) 335-7293
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 033143 Connecticut
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 033143 Connecticut

Profile Details

NPI number 1609875491
LBN Legal business name Gavin, James Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2005
Last updated Jun 12th, 2024 - about 6 months 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 1609875491 NPPES
Connecticut MEDICAID 001331438

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