Douglas L Idelson in New Haven - Pediatrics

Douglas L Idelson - NPI 1629004452

Douglas L Idelson is a Pediatrics in New Haven, Connecticut. Douglas L Idelson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Douglas L Idelson is 1629004452. The last update date is 2016-10-04.

Douglas L Idelson's current location address is 55 Lock St, New Haven, Connecticut. You can contact this provider via phone number 2034320206 and fax number 2034320072. The mailing address for Douglas L Idelson is 55 Lock St, New Haven, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Douglas L Idelson
Address 55 Lock St, New Haven, Connecticut
Phone Number 2034320206
Fax Number 2034320072
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1629004452
Provider Enumeration Date 2006-06-23
Last Updated Date 2016-10-04

Provider Mailing Address Detail

Address 55 Lock St
City New Haven
State Connecticut (CT)
Post Code 65113603
Phone Number 2034320206
Fax Number 2034320072

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 39521
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

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FAQs about Douglas L Idelson

What is the unique provider identifier assigned to Douglas L Idelson?

The Douglas L Idelson has been issued the NPI (National Provider Identifier) 1629004452 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Douglas L Idelson is physically located?

The Douglas L Idelson is situated at the following address: 55 Lock St, New Haven, CT 65113603.

What is Douglas L Idelson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Douglas L Idelson is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.

On what date did the Douglas L Idelson receive its 1629004452 assignment from the Centers for Medicare & Medicaid Services?

The Douglas L Idelson was assigned its 1629004452 by the Centers for Medicare & Medicaid Services on 2006-06-23.

As of what date were the details pertaining to Douglas L Idelson last refreshed?

The information related to the Douglas L Idelson, including its address, specialty, and other relevant details, was last updated on 2016-10-04.

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