# CONNECTICUT PULMONARY SPECIALISTS, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922397298
- **Authorized official:** DR. MICHAEL IMEVBORE M.D. (OWNER)
- **Authorized official phone:** (203) 786-5067

## Contact information

- **Practice address:** 46 PRINCE ST, SUITE 306, NEW HAVEN, CT 06519-1600
- **Practice address phone:** (203) 786-5067
- **Practice address fax:** (203) 786-5162
- **Mailing address:** PO BOX 8478, NEW HAVEN, CT 06530-0478
- **Mailing address phone:** (203) 786-5067
- **Mailing address fax:** (203) 786-5162

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/07/2011
- **Last updated:** 05/27/2014