Individual
DANIELLA NUSSBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
PO BOX 208051, NEW HAVEN, CT 06520-8051
(203) 785-4304
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
74206
CT
Other
Enumeration date
05/11/2018
Last updated
09/01/2023
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