Ely, Matthew Griswold
Ely, Matthew Griswold is an individual health care provider with primary practice located at 85 Seymour St Ste 416, Hartford CT 06106-5501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Ely, Matthew Griswold can be contacted via phone (860) 947-8500.Contact Information
Primary practice address
85 Seymour St Ste 416
Hartford CT 06106-5501
Phone: (860) 947-8500
Fax: (860) 524-8643
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 016178 | Connecticut |
Profile Details
| NPI number | 1659371789 |
|---|---|
| LBN Legal business name | Ely, Matthew Griswold |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1659371789 | NPPES |
| Connecticut | Other | P2043630 | OXFORD |
| Connecticut | Other | 076334 | OXFORD |
| Connecticut | MEDICAID | 3164896 | OXFORD |
| Connecticut | Other | 2053938 | OXFORD |
| Connecticut | Other | 4416097 001 | OXFORD |
| Connecticut | Other | 0V4532 | OXFORD |
| Connecticut | Other | 010016178CT01 | OXFORD |
| Connecticut | Other | 12077 | OXFORD |
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