Provider Demographics
NPI:1154456317
Name:HARVEY E ARMEL MD LLC
Entity Type:Organization
Organization Name:HARVEY E ARMEL MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:E
Authorized Official - Last Name:ARMEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-882-1288
Mailing Address - Street 1:140 CLARK ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-3221
Mailing Address - Country:US
Mailing Address - Phone:203-882-1288
Mailing Address - Fax:203-882-1289
Practice Address - Street 1:140 CLARK ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-3221
Practice Address - Country:US
Practice Address - Phone:203-882-1288
Practice Address - Fax:203-882-1289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT035794208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT340000298Medicare PIN
E72342Medicare UPIN