Leonard, Gerald

Leonard, Gerald is an individual health care provider with primary practice located at 263 Farmington Ave Ent (Otolaryngology), Farmington CT 06030-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Leonard, Gerald can be contacted via phone (860) 679-2804.

Contact Information

Primary practice address
263 Farmington Ave Ent (Otolaryngology) Farmington CT 06030-0001
Phone: (860) 679-2804
Fax: (860) 679-1848
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 023559 Connecticut

Profile Details

NPI number 1932105954
LBN Legal business name Leonard, Gerald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jul 2nd, 2012 - about 14 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 1932105954 NPPES
Connecticut MEDICAID 1235597

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