Organization
LAURENCE KNOLL MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURENCE KNOLL M.D. (PRESIDENT)
(203) 932-8080
Entity
Organization
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
—
D100016903
MEDICARE PTAN
CT
Enumeration date
04/14/2010
Last updated
12/14/2012
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