Individual
ROA HARB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 YORK ST # T-209, YALE-NEW HAVEN HOSPITAL, NEW HAVEN, CT 06510-3220
(203) 688-2259
(203) 688-5599
Mailing address
20 YORK ST # T-209, YALE-NEW HAVEN HOSPITAL, NEW HAVEN, CT 06510-3220
(203) 688-2259
(203) 688-5599
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
050924
CT
Other
Enumeration date
06/29/2009
Last updated
07/09/2012
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