Individual
GORDON LATZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
888 WHITE PLAINS RD, SUITE 110, TRUMBULL, CT 06611-4552
(203) 459-4594
(203) 459-0362
Mailing address
888 WHITE PLAINS RD, SUITE 110, TRUMBULL, CT 06611-4552
(203) 459-4594
(203) 459-0362
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
042961
CT
207RG0100X
Gastroenterology Physician
Primary
042961
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001214585
—
CT
Enumeration date
04/07/2006
Last updated
05/31/2013
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