Individual
LYNN E FIELLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 HOWARD AVE, YALE PHYSICIANS BUILDING, NEW HAVEN, CT 06519-1369
(203) 688-2471
Mailing address
PO BOX 208093, 367 CEDAR STREET, NEW HAVEN, CT 06520-8093
(203) 688-9106
(203) 737-3306
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
037691
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001376913
—
CT
Enumeration date
11/22/2005
Last updated
04/21/2010
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