Holtzman, Phyllis A.

Holtzman, Phyllis A. is an individual health care provider with primary practice located at 1527 Route 12 , Gales Ferry CT 06335-1800. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Holtzman, Phyllis A. can be contacted via phone (860) 464-7248.

Contact Information

Primary practice address
1527 Route 12 Gales Ferry CT 06335-1800
Phone: (860) 464-7248
Fax: (860) 464-0125
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 029092 Connecticut

Profile Details

NPI number 1881783348
LBN Legal business name Holtzman, Phyllis A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jul 8th, 2007 - about 17 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 1881783348 NPPES
Other 029092 CONNECTICARE
MEDICAID 001290923 CONNECTICARE
Other 01029092 CONNECTICARE
Other 031504 CONNECTICARE
Other NLP017 CONNECTICARE
Other 010029092CT01 CONNECTICARE

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