Radin, Laurence I.

Radin, Laurence I. is an individual health care provider with primary practice located at 350 Montauk Ave , New London CT 06320-4730. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Radin, Laurence I. can be contacted via phone (860) 443-1891.

Contact Information

Primary practice address
350 Montauk Ave New London CT 06320-4730
Phone: (860) 443-1891
Fax: (860) 443-2980
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 032051 Connecticut

Profile Details

NPI number 1508860156
LBN Legal business name Radin, Laurence I.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Sep 25th, 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 1508860156 NPPES
Connecticut MEDICAID 1320514

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