| Northeast Medical Group Ynh Geriatric Services | |
|
874 Howard Ave New Haven CT 06519-1106 | |
| (203) 688-8200 | |
| (203) 688-8204 |
| Full Name | Northeast Medical Group Ynh Geriatric Services |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 874 Howard Ave, New Haven, Connecticut |
| Authorized Official Name and Position | Bruce Mcdonald (PRESIDENT) |
| Authorized Official Contact | 2033843394 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Medical Group Ynh Geriatric Services 874 Howard Ave New Haven CT 06519-1106 Ph: (203) 688-8200 | Northeast Medical Group Ynh Geriatric Services 874 Howard Ave New Haven CT 06519-1106 Ph: (203) 688-8200 |
| NPI Number | 1891019675 |
|---|---|
| Provider Enumeration Date | 03/23/2010 |
| Last Update Date | 05/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891019675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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