Organization
CONNECTICUT EPILEPSY GROUP PC
Active
Organization
CONNECTICUT EPILEPSY GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCELO E LANCMAN MD (DIRECTOR)
(914) 428-3651
Entity
Organization
Contact information
Practice address
733 SUMMER ST, SUITE 301, STAMFORD, CT 06901-1081
(914) 428-3651
(914) 428-2948
Mailing address
690 N BROADWAY, SUITE GL1, WHITE PLAINS, NY 10603-2417
(914) 428-3651
(914) 428-2948
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
2084N0600X
Clinical Neurophysiology Physician
—
—
Other
Enumeration date
03/30/2011
Last updated
09/04/2013
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