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Contact Information

LAWRENCE D MULDOON, MD
425 POST RD
GREATER BRIDGEPORT UROLOGY
FAIRFIELD, CT06824-6232
 Phone: 203-254-1576
 Fax: 203-254-1809
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for LAWRENCE D MULDOON · (Male)

NPI Number 1598861528
Status Active
Credentials MD
Entity Individual
Enumeration date 09/16/2006
Last updated 05/31/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 030710
  • CT Medicaid 001307108
  • CT Other 010030710CT01 BC/BS
  • CT Other 0174853 CIGNA
  • CT Other 002195 HEALTHNET
  • CT Other 25201 OXFORD
Hospital affiliation(s)
  • BRIDGEPORT HOSPITAL - (Acute Care)
    267 GRANT STREET
    BRIDGEPORT, CT 06610
  • ST VINCENT'S MEDICAL CENTER - (Acute Care)
    2800 MAIN ST
    BRIDGEPORT, CT 06606
  • YALE-NEW HAVEN HOSPITAL - (Acute Care)
    20 YORK ST
    NEW HAVEN, CT 06504
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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