Individual
AMBER BLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 GEORGE ST STE 901, NEW HAVEN, CT 06511
(203) 785-2095
Mailing address
300 GEORGE ST STE 901, NEW HAVEN, CT 06511-6662
(203) 785-2095
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
300138
NY
2084P0800X
Psychiatry Physician
Primary
56592
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2015
Last updated
10/26/2022
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