Blick, Gary

Blick, Gary is an individual health care provider with primary practice located at 2595 Main St , Stratford CT 06615-5855. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Blick, Gary can be contacted via phone (203) 345-0404.

Contact Information

Primary practice address
2595 Main St Stratford CT 06615-5855
Phone: (203) 345-0404
Fax: (203) 908-4110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 027524 Connecticut

Profile Details

NPI number 1598837957
LBN Legal business name Blick, Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Jun 6th, 2019 - about 7 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 1598837957 NPPES
Connecticut MEDICAID 001275247
Connecticut MEDICAID 02555264

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