Mittelman, Jonathan

Mittelman, Jonathan is an individual health care provider with primary practice located at 534 Saybrook Rd , Middletown CT 06457-4754. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Mittelman, Jonathan can be contacted via phone (860) 344-6394.

Contact Information

Primary practice address
534 Saybrook Rd Middletown CT 06457-4754
Phone: (860) 344-6394
Fax: (860) 344-6748
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 037352 Connecticut

Profile Details

NPI number 1447297619
LBN Legal business name Mittelman, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jul 8th, 2007 - about 18 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 1447297619 NPPES
Connecticut Other 037352 CT LIC #

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