Rifkin, Lawrence
Rifkin, Lawrence is an individual health care provider with primary practice located at 57 Jolley Dr Ste B , Bloomfield CT 06002-3062. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Rifkin, Lawrence can be contacted via phone (860) 243-5225.Contact Information
Primary practice address
57 Jolley Dr Ste B
Bloomfield CT 06002-3062
Phone: (860) 243-5225
Fax: (860) 769-6757
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 032317 | Connecticut |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 032317 | Connecticut |
Profile Details
| NPI number | 1629091798 |
|---|---|
| LBN Legal business name | Rifkin, Lawrence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Jun 22nd, 2021 - about 4 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 | 1629091798 | NPPES |
| Connecticut | MEDICAID | 001323170 | |
| Connecticut | Other | 010032317CT03 |
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