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Contact Information

ARTHUR J GRAVELINE IV
899 MARION AVE
MARION, CT06444
 Phone: 860-621-4396
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ARTHUR J GRAVELINE IV · (Male)

NPI # 1225251036
Status Active
Credentials
Entity Individual
Enumeration date 04/10/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 4095
Hospital affiliation(s) Not Available
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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