Individual
GENTA ISHIKAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 785-4162
(203) 785-3826
Mailing address
PO BOX 208057, NEW HAVEN, CT 06520-8057
(203) 785-4162
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
466863
ZZ
Other
Enumeration date
07/12/2014
Last updated
09/11/2025
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