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Individual

NATHANIEL PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
20 YORK ST # CB-2041, YALE NEW HAVEN HOSPITAL / NORTHEAST MEDICAL GROUP, NEW HAVEN, CT 06510
(203) 688-4748
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4748

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
69153
CT
207R00000X
Internal Medicine Physician
Primary
94-09474
KY

Other

Enumeration date
06/08/2018
Last updated
05/03/2026
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