Graydon, Roland James
Graydon, Roland James is an individual health care provider with primary practice located at 85 Seymour St Suite 416, Hartford CT 06106-5501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Graydon, Roland James can be contacted via phone (860) 947-8500.Contact Information
Primary practice address
85 Seymour St Suite 416
Hartford CT 06106-5501
Phone: (860) 947-8500
Fax: (860) 524-8643
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 015005 | Connecticut |
Profile Details
| NPI number | 1659363075 |
|---|---|
| LBN Legal business name | Graydon, Roland James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Mar 29th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659363075 | NPPES |
| Connecticut | MEDICAID | 001150051 | |
| Connecticut | Other | 06-1406459 | |
| Connecticut | MEDICAID | 3164870 | |
| Connecticut | Other | 06-1406459 | |
| Connecticut | Other | 06-1406459 | |
| Connecticut | Other | 06-1406459 | |
| Connecticut | Other | 06-1406459 | |
| Connecticut | Other | 0S0306 | |
| Connecticut | Other | 06-1406459 | |
| Connecticut | Other | 076049 | |
| Connecticut | Other | 06-1406459 | |
| Connecticut | Other | 06-1406459 | |
| Connecticut | Other | 2054764 | |
| Connecticut | Other | 06-1406459 | |
| Connecticut | Other | 12739 | |
| Connecticut | Other | 342585 | |
| Connecticut | Other | P1096767 | |
| Connecticut | Other | 010015005CT01 | |
| Connecticut | Other | 06-1406459 | |
| Connecticut | Other | 06-1406459 | |
| Connecticut | Other | 4915512 001 |
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