Individual
BAILEY DAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 TRUMBULL ST, NEW HAVEN, CT 06510-1001
(646) 270-4857
Mailing address
40 TRUMBULL ST, NEW HAVEN, CT 06510-1001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10338
CT
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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