Individual
ALICIA JOAN LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
333 CEDAR ST, DERMATOLOGY, NEW HAVEN, CT 06520-8059
(203) 785-4092
Mailing address
400 COLUMBUS AVE, CREDENTIALING SPECIALIST, NEW HAVEN, CT 06519-1233
(203) 503-3174
(203) 503-3183
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
60162
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2014
Last updated
01/22/2021
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