Individual
LAURA MANUELIDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 CEDAR ST, YALE MEDICAL SCHOOL, ROOM FMB, NEW HAVEN, CT 06510-3206
(203) 785-4442
Mailing address
333 CEDAR ST, YALE MEDICAL SCHOOL, ROOM FMB, NEW HAVEN, CT 06510-3206
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
014376
CT
Other
Enumeration date
09/17/2009
Last updated
09/17/2009
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