Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 13960 | CT |
NPI | 1023019726 |
---|---|
Provider Name | Dr. Leonard E Grauer |
First Address | Hamden, CT 06517-1209 |
Second Address | Hamden, CT 06517-1209 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2005 |
Last Update Date | 08/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001139609 | (05) | CT |
D83611 | (02) |