Individual
JO R KREMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
34 PARK ST, CONNECTICUT MENTAL HEALTH CENTER, NEW HAVEN, CT 06519
(203) 974-7417
(203) 974-7413
Mailing address
34 PARK ST, CONNECTICUT MENTAL HEALTH CENTER OFFICE OF CARE MANAGEM, NEW HAVEN, CT 06519
(203) 974-7417
(203) 974-7413
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
CT024901
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235918
—
CT
Enumeration date
01/29/2007
Last updated
08/16/2011
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