Individual
MICHAEL DIGIOVANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 HOWARD AVE, YALE PHYSICIANS BUILDING - 2ND FLOOR, NEW HAVEN, CT 06519-1369
(203) 688-4191
(203) 737-2617
Mailing address
PO BOX 9805, 300 GEORGE ST 6TH FLOOR, NEW HAVEN, CT 06536-0805
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
033231
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001332311
—
CT
Enumeration date
10/13/2005
Last updated
06/26/2008
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