Prince, Marvin

Prince, Marvin is an individual health care provider with primary practice located at 24 Hospital Ave , Danbury CT 06810-6099. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Prince, Marvin can be contacted via phone (203) 797-7038.

Contact Information

Primary practice address
24 Hospital Ave Danbury CT 06810-6099
Phone: (203) 797-7038
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 013317 Connecticut

Profile Details

NPI number 1396765947
LBN Legal business name Prince, Marvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 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 1396765947 NPPES
New York Other 543619 NYS MEDICAID
New York Other 040388 NYS MEDICAID
New York MEDICAID 1133172 NYS MEDICAID
New York Other 547771 NYS MEDICAID
New York Other ZP021 NYS MEDICAID
New York Other 586016 NYS MEDICAID
New York Other 2180483 NYS MEDICAID
New York Other 732191 NYS MEDICAID
New York Other 90658 NYS MEDICAID
New York Other 010013317CT01 NYS MEDICAID

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