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GERALD PORTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
330 ORCHARD ST STE 164, NEW HAVEN, CT 06511-4429
(203) 785-2815
(203) 737-8035
Mailing address
PO BOX 208058, NEW HAVEN, CT 06520-8058
(203) 785-5339

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
56398
CT

Other

Enumeration date
05/03/2011
Last updated
11/09/2017
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