Individual
JILL L BERLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 CEDAR ST # 3, NEW HAVEN, CT 06510-3206
(203) 785-2802
Mailing address
333 CEDAR ST # 3, NEW HAVEN, CT 06510-3206
(203) 785-2802
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
63694
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2015
Last updated
06/19/2019
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