Doctor Name: | DR. CONRAD PAUL EHRLICH |
NPI Number: | 1053359893 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 025510 |
Business Practice Address: | 67 Sand Pit Rd Ste 105 Housatonic Valley Radiological Assoc. Pc Danbury, CT - 068104032 |
Business Phone Number: | 2037971770 |
Business Fax Number: | 2037967839 |
Mailing Address: | 67 Sand Pit Rd, Northeast Radiology DANBURY |
State: | CT |
Postal Code: | 068104032 |
Phone Number: | 2037971770 |
Fax Number: | 8452781613 |
NPI Enumeration Date: | 06/03/2006 |
NPI Last Update Date: | 03/31/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 025510 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |