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Individual

PURUSHOTTAM LAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-3220

Taxonomy

Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
80651
CT
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
09/01/2016
Last updated
07/31/2025
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