Gorelick, Jeffrey

Gorelick, Jeffrey is an individual health care provider with primary practice located at 51-53 Kenosia Ave , Danbury CT 06810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Gorelick, Jeffrey can be contacted via phone (203) 748-0330.

Contact Information

Primary practice address
51-53 Kenosia Ave Danbury CT 06810
Fax: (203) 731-3273
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 029657 Connecticut

Profile Details

NPI number 1538164736
LBN Legal business name Gorelick, Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Jul 9th, 2007 - about 18 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 1538164736 NPPES
Connecticut MEDICAID 1296575

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