Modlin, Irvin M
Modlin, Irvin M is an individual health care provider with primary practice located at 789 Howard Ave Fitkin Building - 2Nd Floor, New Haven CT 06519-1304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Modlin, Irvin M can be contacted via phone (203) 785-3207.Contact Information
Primary practice address
789 Howard Ave Fitkin Building - 2Nd Floor
New Haven CT 06519-1304
Phone: (203) 785-3207
Fax: (203) 785-3826
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 025885 | Connecticut |
Profile Details
| NPI number | 1265418941 |
|---|---|
| LBN Legal business name | Modlin, Irvin M |
| Credentials | MD PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2005 |
| Last updated | Mar 16th, 2011 - about 15 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 | 1265418941 | NPPES |
| Connecticut | MEDICAID | 001258854 |
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