Individual
DR. LAWRENCE DANIEL MULDOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 POST RD, GREATER BRIDGEPORT UROLOGY, FAIRFIELD, CT 06824-6232
(203) 254-1576
(203) 254-1809
Mailing address
425 POST RD, GREATER BRIDGEPORT UROLOGY, FAIRFIELD, CT 06824-6232
(203) 254-1576
(203) 254-1809
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
030710
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001307108
—
CT
01
—
002195
HEALTHNET
CT
01
—
010030710CT01
BC/BS
CT
01
—
0174853
CIGNA
CT
01
—
25201
OXFORD
CT
Enumeration date
09/16/2006
Last updated
05/31/2013
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