Lian, Gang Gary

Lian, Gang Gary is an sole proprietor health care provider with primary practice located at 180 Westbrook Rd Building 5, Essex CT 06426-1517. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Lian, Gang Gary can be contacted via phone (860) 767-1034.

Contact Information

Primary practice address
180 Westbrook Rd Building 5 Essex CT 06426-1517
Phone: (860) 767-1034
Fax: (860) 767-3434
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 041137 Connecticut
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2084P0005X 041137 Connecticut

Profile Details

NPI number 1316956501
LBN Legal business name Lian, Gang Gary
Credentials M,D., PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2006
Last updated Dec 17th, 2015 - about 11 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 1316956501 NPPES
Connecticut MEDICAID 001411371

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