Individual
DR. JONAS O'GARA HANNESTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
227 CHURCH ST, APT 3F, NEW HAVEN, CT 06510-1817
(203) 974-7536
(203) 974-7662
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
043427
CT
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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