Individual
MATTHEW KENNETH JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
464 CONGRESS AVE, SUITE 260, NEW HAVEN, CT 06519-1361
(203) 785-5174
Mailing address
464 CONGRESS AVE, SUITE 260, NEW HAVEN, CT 06519-1361
(203) 785-5174
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A161621
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2015
Last updated
05/30/2019
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