Goldman, Leslie P

Goldman, Leslie P is an individual health care provider with primary practice located at 245 Alvord Park Rd Bld B, Torrington CT 06790-3493. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Goldman, Leslie P can be contacted via phone (860) 496-0455.

Contact Information

Primary practice address
245 Alvord Park Rd Bld B Torrington CT 06790-3493
Fax: (860) 496-2793
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 025312 Connecticut

Profile Details

NPI number 1801880109
LBN Legal business name Goldman, Leslie P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Feb 12th, 2015 - about 10 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 1801880109 NPPES
Connecticut MEDICAID 001253129

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