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:
Health care specialties
| Specialty | Code | License # | 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 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508860156 | NPPES |
| Connecticut | MEDICAID | 1320514 |
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