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Individual

FORRESTER A LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
789 HOWARD AVE, DANA BLDG - 3RD FLOOR, NEW HAVEN, CT 06519-1304
(203) 785-4629
(203) 785-3588
Mailing address
300 GEORGE STREET, 6TH FLOOR PO BOX 9805, NEW HAVEN, CT 06536-0805

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
023899
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001237997
CT
Enumeration date
10/12/2005
Last updated
02/13/2009
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