Alex E Lash, M.D,

Individual provider Active NPI Special Hospital · Riverside, CT

NPI 1487964037 · NPPES record last updated Aug 13, 2016

Key facts

NPI
1487964037
Entity type
Individual (NPI type 1)
Primary specialty
Special Hospital 284300000X
License
042787 (CT)
Practice address
23 Westview Place
Riverside, CT 06878
Phone
(203) 424-9975
NPI assigned
Oct 18, 2010
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042787CTMDSpecial Hospital

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X 042787 CT Yes

Addresses

Primary practice location

23 Westview Place
Riverside, CT 06878

Mailing address

23 Westview Place
Riverside, CT 06878
Phone (203) 424-9975

Other providers in Riverside, CT

All providers in Riverside, CT · Special Hospital in Connecticut

Sources for this page

Verify at the official NPI Registry.