Gang Gary Lian in Essex - Neurodevelopmental Disabilities

Gang Gary Lian - NPI 1316956501

Gang Gary Lian is a Neurodevelopmental Disabilities in Essex, Connecticut. Gang Gary Lian practices all healthcare services and medical treatments related to Neurodevelopmental Disabilities. The NPI Number for Gang Gary Lian is 1316956501. The last update date is 2015-12-17.

Gang Gary Lian's current location address is 180 Westbrook Rd, Essex, Connecticut. You can contact this provider via phone number 8607671034 and fax number 8607673434. The mailing address for Gang Gary Lian is 180 Westbrook Rd, Essex, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Gang Gary Lian
Address 180 Westbrook Rd, Essex, Connecticut
Phone Number 8607671034
Fax Number 8607673434
Sole Proprietor Y
Credentials M,D., PH.D

NPI Number Detail

NPI Number 1316956501
Provider Enumeration Date 2006-08-05
Last Updated Date 2015-12-17

Provider Mailing Address Detail

Address 180 Westbrook Rd
City Essex
State Connecticut (CT)
Post Code 64261517
Phone Number 8607671034
Fax Number 8607673434

Provider's Primary Taxonomy Detail

Speciality Neurodevelopmental Disabilities
Taxonomy 2084P0005X
Licence No 41137
Definition:
A neurologist who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1411371 CT --

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FAQs about Gang Gary Lian

What is the unique identifier code issued to Gang Gary Lian by the Centers for Medicare & Medicaid Services?

The Gang Gary Lian has been assigned the NPI (National Provider Identifier) 1316956501. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Gang Gary Lian's facilities are geographically located?

The facilities of Gang Gary Lian are physically situated at the following location: 180 Westbrook Rd, Essex, CT, 64261517.

What is the Gang Gary Lian's specialty and taxonomy code?

The Gang Gary Lian's specialty is Neurodevelopmental Disabilities, and the corresponding taxonomy code is 2084P0005X.

On what date did the Gang Gary Lian receive its 1316956501 assignment from the Centers for Medicare & Medicaid Services?

The Gang Gary Lian was assigned its 1316956501 by the Centers for Medicare & Medicaid Services on 2006-08-05.

When was the information regarding Gang Gary Lian most recently updated?

The details pertaining to the Gang Gary Lian, including its address, specialty, and other relevant information, were last refreshed on 2015-12-17.

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