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1346565520 NPI number — EILEEN K PLOTKIN M.D.

NPI Number: 1346565520
Health Care Provider/Practitioner: EILEEN K PLOTKIN M.D.

Information about “1346565520” NPI (EILEEN K PLOTKIN M.D.) exists in 1346565520 in HTML format HTML  |  1346565520 in plain Text format TXT  |  1346565520 in PDF (Portable Document Format) PDF  |  1346565520 in an XML format XML  formats.

NPI Number : 1346565520 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346565520",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PLOTKIN",
    "FirstName": "EILEEN",
    "MiddleName": "K",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KISILIS",
    "OtherFirstName": "EILEEN",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "30 WATERCHASE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROCKY HILL",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06067-2110",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "860-257-4131",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1 LIBERTY SQ",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW BRITAIN",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06051-2637",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "860-229-9688",
    "PracticeLocationAddressFaxNumber": "860-229-5498",
    "EnumerationDate": "03/31/2010",
    "LastUpdateDate": "02/10/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "52227",
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208M00000X",
          "TaxonomyName": "Hospitalist Physician",
          "LicenseNumber": "52227",
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RG0100X",
          "TaxonomyName": "Gastroenterology Physician",
          "LicenseNumber": "52227",
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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