Individual
ROBERT INGERSOLL WHITE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK ST, YNHH, SOUTH PAVILION, 2ND FL, NEW HAVEN, CT 06510-3220
(203) 688-2433
(203) 688-9258
Mailing address
20 YORK ST, YNHH, SOUTH PAVILION, 2ND FL, NEW HAVEN, CT 06510-3220
(203) 688-2433
(203) 688-9258
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
028924
CT
2085R0204X
Vascular & Interventional Radiology Physician
028924
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001289249
—
CT
Enumeration date
11/25/2005
Last updated
04/07/2011
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