Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 039424 | CT |
NPI | 1740228824 |
---|---|
Provider Name | Dr. Lawrence J Fliegelman |
First Address | Fairfield, CT 06824-6016 |
Second Address | Fairfield, CT 06824-6016 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010039424CT01 | BLUE CROSS BLUE SHIELD (01) | CT |
039424 | CONNECTICARE (01) | CT |
2973853 | AETNA (01) | CT |
2V2100 | PHS (01) | CT |
4905456002 | CIGNA (01) | CT |
H21259 | (02) | CT |
P2396012 | OXFORD (01) | CT |