Individual
DR. MICHAEL EMMANUEL KARELLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 HOWARD AVE, NEW HAVEN, CT 06519-1369
(203) 737-6959
(203) 785-4043
Mailing address
800 HOWARD AVE, NEW HAVEN, CT 06519-1369
(203) 737-6959
(203) 785-4043
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
055043
CT
208800000X
Urology Physician
25MA08557100
NJ
208800000X
Urology Physician
60 241182
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0199770
—
NJ
01
—
P00944510
RR MCR PTAN
NJ
Enumeration date
03/01/2007
Last updated
06/12/2023
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