Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 020142 | CT |
NPI | 1083689962 |
---|---|
Provider Name | Dr. Ben Duncan Ramaley |
First Address | Southport, CT 06890 |
Second Address | Southport, CT 06890 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2006 |
Last Update Date | 11/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020142 | LICENSE NUMBER (01) | CT |
120672-1 | LICENSE NUMBER (01) | NY |
B83775 | (02) | CT |