Kagan, Jeffrey Mark
Kagan, Jeffrey Mark is an individual health care provider with primary practice located at 365 Willard Ave Suite 2-D, Newington CT 06111-2373. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kagan, Jeffrey Mark can be contacted via phone (860) 665-1571.Contact Information
Primary practice address
365 Willard Ave Suite 2-D
Newington CT 06111-2373
Phone: (860) 665-1571
Fax: (860) 667-3668
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 030937 | Connecticut |
Profile Details
| NPI number | 1003886193 |
|---|---|
| LBN Legal business name | Kagan, Jeffrey Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Jul 8th, 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 | 1003886193 | NPPES |
| Connecticut | MEDICAID | 001309378 |
Popular Providers
-
Denuzzio, Albert J
1268 Main St Suite 102, Newington CT 06111-3038 -
Milewski, Stephen J
50 Market Square , Newington CT 06111 -
Curran, Donald J
555 Willard Ave , Newington CT 06111-2631 -
Cartwright-Lowe, Nadine
555 Willard Ave Va Connecticut Healthcare System, Newington CT 06111-2631 -
Cioffi, Patricia
555 Willard Ave , Newington CT 06111-2631 -
Hussain, Shahnaz
18 Cedar St , Newington CT 06111-2647 -
Yetil, Turgut
365 Willard Ave Suite 2-D, Newington CT 06111-2373 -
Hemmaplardh, Tatong
1268 Main St Suite 102, Newington CT 06111-3038