Individual
DR. LAWRENCE SHINBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 SEASIDE AVE, MILFORD, CT 06460-4603
(203) 876-4178
Mailing address
300 SEASIDE AVE, SUITE 201, MILFORD, CT 06460-4603
(203) 783-1831
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
040727
CT
207L00000X
Anesthesiology Physician
Primary
040727
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001407271
—
CT
Enumeration date
10/06/2005
Last updated
10/20/2013
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