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Individual

MARTINA BRUECKNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
800 HOWARD AVENUE, YALE PHYSICIANS BUILDING, NEW HAVEN, CT 06519
(203) 785-2140
(203) 785-6414
Mailing address
PO BOX 9805, 300 GEORGE STREET 6TH FLOOR, NEW HAVEN, CT 06536-0805
(203) 785-6610
(203) 785-6414

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
029088
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001290882
CT
Enumeration date
12/14/2005
Last updated
07/21/2010
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