Individual
LAURENCE KNOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
385 MAIN STREET, WEST HAVEN, CT 06516
(203) 932-8080
(203) 932-8388
Mailing address
385 MAIN STREET, WEST HAVEN, CT 06516
(203) 932-8080
(203) 932-8388
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22377
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D400016904
MEDICARE PTAN
CT
Enumeration date
01/25/2006
Last updated
12/14/2012
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