Goldblatt, Jeffrey Stuart

Goldblatt, Jeffrey Stuart is an sole proprietor health care provider with primary practice located at 4 Huntley Road Sutie 1, Old Lyme CT 06371. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Goldblatt, Jeffrey Stuart can be contacted via phone (860) 434-4073.

Contact Information

Primary practice address
4 Huntley Road Sutie 1 Old Lyme CT 06371
Phone: (860) 434-4073
Fax: (860) 434-4635
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 016369 Connecticut

Profile Details

NPI number 1366478158
LBN Legal business name Goldblatt, Jeffrey Stuart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2006
Last updated Sep 19th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366478158 NPPES
Connecticut Other P3645106 OXFORD
Connecticut MEDICAID 001163690 OXFORD
Connecticut Other 2590570 OXFORD
Connecticut Other 2V5496 OXFORD
Connecticut Other 65-1212930 OXFORD
Connecticut Other 719901J245 OXFORD
Connecticut Other 010016369CT03 OXFORD
Connecticut Other 3444674 OXFORD

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