Individual
JONATHAN KOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
789 HOWARD AVE, NEW HAVEN, CT 06519-1304
(203) 785-4198
(203) 737-5453
Mailing address
300 CEDAR ST, SUITE 441, NEW HAVEN, CT 06519-1612
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
049721
CT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A82796
CA
207RP1001X
Pulmonary Disease Physician
Primary
049721
CT
207RP1001X
Pulmonary Disease Physician
A82796
CA
Other
Enumeration date
04/11/2007
Last updated
04/22/2011
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