Individual
DOUGLAS HERRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 YORK STREET, YNHH DIAGNOSTIC RADIOLOGY, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
20 YORK STREET, YNHH DIAGNOSTIC RADIOLOGY, NEW HAVEN, CT 06510-3220
(203) 688-4242
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
68612
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/11/2016
Last updated
07/21/2022
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