Individual
STEPHEN UPDEGROVE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
428 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3000
(203) 503-3254
Mailing address
400 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3000
(203) 503-3325
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
024696
CT
Other
Enumeration date
02/17/2006
Last updated
07/08/2007
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