Serels, Scott R

Serels, Scott R is an individual health care provider with primary practice located at 12 Elmcrest Ter , Norwalk CT 06850-3937. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Other Service Providers / Specialist is his primary health care specialty. Serels, Scott R can be contacted via phone (203) 853-4200.

Contact Information

Primary practice address
12 Elmcrest Ter Norwalk CT 06850-3937
Phone: (203) 853-4200
Fax: (203) 299-1938
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 037477 Connecticut
Allopathic & Osteopathic Physicians / Urology 208800000X 037477 Connecticut

Profile Details

NPI number 1972695054
LBN Legal business name Serels, Scott R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated May 28th, 2013 - about 12 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 1972695054 NPPES
Connecticut MEDICAID 001374777
Connecticut Other 340017119
Connecticut Other 5527626
Connecticut Other 0V5091
Connecticut Other 765504
Connecticut Other 010037477CT01
Connecticut Other P1259371
Connecticut Other 0684829002

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