Gramlich, Curt Wilson

Gramlich, Curt Wilson is an individual health care provider with primary practice located at 365 Montauk Ave , New London CT 06320-4700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gramlich, Curt Wilson can be contacted via phone (860) 442-0711.

Contact Information

Primary practice address
365 Montauk Ave New London CT 06320-4700
Phone: (860) 442-0711
Fax: (401) 348-3792
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 11700 Rhode Island
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 43224 Connecticut

Profile Details

NPI number 1063483808
LBN Legal business name Gramlich, Curt Wilson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Mar 28th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063483808 NPPES
Connecticut Other 003128643 MEDICAID
Connecticut Other 050373266 MEDICAID
Connecticut MEDICAID 7057582 MEDICAID

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