Gorecki, Gerald A

Gorecki, Gerald A is an individual health care provider with primary practice located at 800 Howard Ave Yale Physicians Building - 1St Floor, New Haven CT 06519-1369. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Gorecki, Gerald A can be contacted via phone (203) 785-2579.

Contact Information

Primary practice address
800 Howard Ave Yale Physicians Building - 1St Floor New Haven CT 06519-1369
Phone: (203) 785-2579
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X P00341 Connecticut

Profile Details

NPI number 1699750240
LBN Legal business name Gorecki, Gerald A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Jul 7th, 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 1699750240 NPPES
Connecticut MEDICAID 004183927

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