Integrated Medical Of New Haven, Llc | |
111 Park St Suite 1c New Haven CT 06511-5412 | |
(203) 773-1935 | |
(203) 773-0039 |
Full Name | Integrated Medical Of New Haven, Llc |
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Speciality | Internal Medicine - Sports Medicine |
Location | 111 Park St, New Haven, Connecticut |
Authorized Official Name and Position | Michael Lance Gerstenfeld (MANAGER) |
Authorized Official Contact | 2037731935 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Integrated Medical Of New Haven, Llc 111 Park St Suite 1c New Haven CT 06511-5412 Ph: (203) 773-1935 | Integrated Medical Of New Haven, Llc 111 Park St Suite 1c New Haven CT 06511-5412 Ph: (203) 773-1935 |
NPI Number | 1760714661 |
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Provider Enumeration Date | 02/03/2010 |
Last Update Date | 02/03/2010 |
Identifier | Type | State | Issuer |
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1760714661 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RS0010X | Internal Medicine - Sports Medicine | 031959 (Connecticut) | Primary |
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