Terranova, George J
Terranova, George J is an sole proprietor health care provider with primary practice located at 365 Montauk Ave , New London CT 06320-4700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Terranova, George J can be contacted via phone (860) 446-8265.Contact Information
Primary practice address
365 Montauk Ave
New London CT 06320-4700
Phone: (860) 446-8265
Fax: (860) 448-2543
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 017403 | Connecticut |
Profile Details
| NPI number | 1972630010 |
|---|---|
| LBN Legal business name | Terranova, George J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Nov 19th, 2011 - about 13 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 | 1972630010 | NPPES |
| Connecticut | MEDICAID | 4041679 | |
| Connecticut | MEDICAID | 4024972 |
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