Latzman, Gordon

Latzman, Gordon is an individual health care provider with primary practice located at 888 White Plains Rd Suite 110, Trumbull CT 06611-4552. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Latzman, Gordon can be contacted via phone (203) 459-4594.

Contact Information

Primary practice address
888 White Plains Rd Suite 110 Trumbull CT 06611-4552
Phone: (203) 459-4594
Fax: (203) 459-0362
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 042961 Connecticut
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 042961 Connecticut

Profile Details

NPI number 1780647115
LBN Legal business name Latzman, Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated May 31st, 2013 - 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 1780647115 NPPES
Connecticut MEDICAID 001214585

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