Active NPIIndividual providerSole proprietor

Dr. Jeffrey S Goldblatt, MD

Surgery in Old Lyme, Connecticut

NPI Number1366478158
Practice location
4 Huntley Road, Sutie 1, Old Lyme, CT 06371
Fax
860-434-4635
Last updated
September 19, 2013

Jeffrey Stuart Goldblatt is a Surgery based in Old Lyme, CT. Jeffrey Stuart Goldblatt practices in Old Lyme, CT and has the professional credentials of MD. The NPI Number for Jeffrey Stuart Goldblatt is 1366478158 and holds a License No. 016369 (CT). The current practice location address for Jeffrey Stuart Goldblatt is 4 Huntley Road, Sutie 1, Old Lyme, CT 06371 and can be reached out via phone at 860-434-4073 and via fax at 860-434-4635.

Provider Profile Details

NPI Number
1366478158
Provider Name
Jeffrey Stuart Goldblatt
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4 Huntley Road, Sutie 1, Old Lyme, CT 06371
Phone Number
860-434-4073
Fax Number
860-434-4635
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
Yes
Provider Enumeration Date
June 23, 2006
Last Update Date
September 19, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Huntley Road
Sutie 1
Old Lyme, CT 06371
Zip
06371
Phone Number
860-434-4073
Fax Number
860-434-4635
Old Lyme, CT 06371Get directions →

Provider Business Mailing Address Details

Address
4 Huntley RD
Suite 1
Old Lyme, CT 06371-1449
City
Old Lyme
State
CT
Zip
06371-1449
Phone Number
860-434-4073
Fax Number
860-434-4635

License Information

License Number
016369
License State
CT
Taxonomy
Surgery · 208600000X · 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. Jeffrey S Goldblatt, MD?

The NPI number of Dr. Jeffrey S Goldblatt, MD is 1366478158. It was assigned on June 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jeffrey S Goldblatt, MD?

Dr. Jeffrey S Goldblatt, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in CT under license number 016369.

Where does Dr. Jeffrey S Goldblatt, MD practice?

The practice location is 4 Huntley Road, Sutie 1, Old Lyme, CT 06371. The office can be reached at 860-434-4073 (phone) or 860-434-4635 (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 1366478158 directly on the NPPES registry website.

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