Individual
BRIAN N KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
047749
CT
2086S0129X
Vascular Surgery Physician
243360
NY
390200000X
Student in an Organized Health Care Education/Training Program
0101233575
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008003815
—
CT
Enumeration date
06/07/2007
Last updated
11/17/2010
Update your record
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