Padilla, Alfred J

Padilla, Alfred J is an individual health care provider with primary practice located at 56 Lafayette Pl Ste A, Greenwich CT 06830-5430. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Other Service Providers / Specialist is his primary health care specialty. Padilla, Alfred J can be contacted via phone (203) 622-9160.

Contact Information

Primary practice address
56 Lafayette Pl Ste A Greenwich CT 06830-5430
Phone: (203) 622-9160
Fax: (203) 661-3887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 023697 Connecticut
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 23697 Connecticut

Profile Details

NPI number 1386623957
LBN Legal business name Padilla, Alfred J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Mar 7th, 2023 - about 3 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 1386623957 NPPES
Connecticut Other 07D0930087 CLIA NUMBER
Connecticut MEDICAID 1236975 CLIA NUMBER
Connecticut Other 023697 CLIA NUMBER
Connecticut Other 010023697 CT 01 CLIA NUMBER

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