Individual
RYAN PATRICK HAUSFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
20 YORK STREET, NEW HAVEN, CT 06510
(203) 688-4242
Mailing address
327 ST. JOHN STREET, APT D, NEW HAVEN, CT 06511
(919) 649-8589
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002895
CT
Other
Enumeration date
04/22/2013
Last updated
04/22/2013
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