Klimovich, Grigoriy Vitalyevich

Klimovich, Grigoriy Vitalyevich is an individual health care provider with primary practice located at 40 Temple St Ste 7B , New Haven CT 06510. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Klimovich, Grigoriy Vitalyevich can be contacted via phone (203) 785-6060.

Contact Information

Primary practice address
40 Temple St Ste 7B New Haven CT 06510
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 60191 Connecticut

Profile Details

NPI number 1932545399
LBN Legal business name Klimovich, Grigoriy Vitalyevich
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2013
Last updated Jul 6th, 2018 - about 8 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 1932545399 NPPES
Connecticut Other 60191 CT MEDICAL LICENSE

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