Individual
MS. MARYAM GONDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
330 CEDAR STREET, BB 114, NEW HAVEN, CT 06510
(203) 785-4184
Mailing address
330 CEDAR STREET, BB 114, NEW HAVEN, CT 06510
(203) 785-4184
(203) 785-7068
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
71978
CT
207RN0300X
Nephrology Physician
40627
SC
Other
Enumeration date
08/14/2012
Last updated
08/10/2022
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