Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 4998 | CT |
NPI | 1083800403 |
---|---|
Provider Name | Dr. Howard J Posner |
First Address | Bristol, CT 06010 |
Second Address | Bristol, CT 06010 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2007 |
Last Update Date | 19/09/2007 |