Active NPIIndividual provider

Dr. Max Lataillade, MD

Internal Medicine in Greenwich, Connecticut

NPI Number1245346824
Practice location
5 Perryridge RD, Greenwich, CT 06830-4608
Fax
203-863-4738
Last updated
July 8, 2007

Max Lataillade is an Internal Medicine based in Greenwich, CT. Max Lataillade practices in Greenwich, CT and has the professional credentials of MD. The NPI Number for Max Lataillade is 1245346824 and holds a License No. 042704 (CT). The current practice location address for Max Lataillade is 5 Perryridge RD, Greenwich, CT 06830-4608 and can be reached out via phone at 203-863-3685 and via fax at 203-863-4738.

Provider Profile Details

NPI Number
1245346824
Provider Name
Max Lataillade
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5 Perryridge RD, Greenwich, CT 06830-4608
Phone Number
203-863-3685
Fax Number
203-863-4738
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
August 23, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Perryridge RD
Greenwich, CT 06830-4608
Zip
06830-4608
Phone Number
203-863-3685
Fax Number
203-863-4738
Greenwich, CT 06830Get directions →

Provider Business Mailing Address Details

Address
5 Perryridge RD
Greenwich, CT 06830-4608
City
Greenwich
State
CT
Zip
06830-4608
Phone Number
203-863-3685
Fax Number
203-863-4738

License Information

License Number
042704
License State
CT
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Max Lataillade, MD?

The NPI number of Dr. Max Lataillade, MD is 1245346824. It was assigned on August 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Max Lataillade, MD?

Dr. Max Lataillade, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 042704.

Where does Dr. Max Lataillade, MD practice?

The practice location is 5 Perryridge RD, Greenwich, CT 06830-4608. The office can be reached at 203-863-3685 (phone) or 203-863-4738 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245346824 directly on the NPPES registry website.

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