Wand, Martin

Wand, Martin is an individual health care provider with primary practice located at 499 Farmington Ave Suite 100, Farmington CT 06032-1943. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Wand, Martin can be contacted via phone (860) 678-0202.

Contact Information

Primary practice address
499 Farmington Ave Suite 100 Farmington CT 06032-1943
Phone: (860) 678-0202
Fax: (860) 678-0224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 017514 Connecticut

Profile Details

NPI number 1447208632
LBN Legal business name Wand, Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Oct 28th, 2009 - about 16 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 1447208632 NPPES
Connecticut MEDICAID 001175140
Connecticut Other 180027295

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