Latzman, Gordon
Latzman, Gordon is an individual health care provider with primary practice located at 888 White Plains Rd Suite 110, Trumbull CT 06611-4552. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Latzman, Gordon can be contacted via phone (203) 459-4594.Contact Information
Primary practice address
888 White Plains Rd Suite 110
Trumbull CT 06611-4552
Phone: (203) 459-4594
Fax: (203) 459-0362
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 042961 | Connecticut |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 042961 | Connecticut |
Profile Details
| NPI number | 1780647115 |
|---|---|
| LBN Legal business name | Latzman, Gordon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2006 |
| Last updated | May 31st, 2013 - about 12 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 | 1780647115 | NPPES |
| Connecticut | MEDICAID | 001214585 |
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