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Individual

DR. ERIN LONGBRAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6 DEVINE ST, SUITE 2B, NORTH HAVEN, CT 06473-2195
(203) 287-6100
(203) 287-6101
Mailing address
300 GEORGE ST, FL 6, NEW HAVEN, CT 06511-6624
(203) 785-6610
(203) 785-6414

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2013005295
MO
2084N0400X
Neurology Physician
2013005295
MO
2084N0400X
Neurology Physician
Primary
55076
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
56740053
IL
Enumeration date
06/25/2009
Last updated
06/29/2016
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