Martin, Ralph

Martin, Ralph is an individual health care provider with primary practice located at 114 Woodland St , Hartford CT 06105-1208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Martin, Ralph can be contacted via phone (860) 714-7124.

Contact Information

Primary practice address
114 Woodland St Hartford CT 06105-1208
Phone: (860) 714-7124
Fax: (860) 714-8217
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 033632 Connecticut

Profile Details

NPI number 1760484083
LBN Legal business name Martin, Ralph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Mar 27th, 2013 - about 11 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 1760484083 NPPES
Connecticut MEDICAID 001336321

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