Individual
YANN BRUNO PONCIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
230 SOUTH FRONTAGE ROAD, NEW HAVEN, CT 06520-7900
(203) 785-2513
Mailing address
35 HILLCREST AVE, HAMDEN, CT 06514-3501
(203) 230-0744
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
042167
CT
2084P0804X
Child & Adolescent Psychiatry Physician
042167
CT
Other
Enumeration date
05/12/2006
Last updated
09/18/2013
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