Organization
CONWELL B. CARTER, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONWELL CARTER M.D. (PRESIDENT)
(310) 276-6978
Entity
Organization
Contact information
Practice address
400 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3250
(203) 503-3254
Mailing address
400 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3250
(203) 503-3254
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
A23247
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235900
—
CT
05
—
00A232470
—
CA
Enumeration date
04/02/2010
Last updated
12/14/2011
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