Individual
MR. GARRY DAVID LAPIDUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC MPH
Contact information
Practice address
282 WASHINGTON ST, HARTFORD, CT 06106
(860) 545-9300
(860) 545-9301
Mailing address
21 GRAND ST, HARTFORD, CT 06106
(860) 550-7500
(860) 550-7501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000238
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000238
PHYSICIAN
CT
05
—
004236007
—
CT
Enumeration date
02/10/2006
Last updated
03/07/2023
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