Individual
CHARLES A DISABATINO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
60 TEMPLE ST, NEW HAVEN, CT 06510-2716
(203) 789-2255
Mailing address
60 TEMPLE ST, STE 6A, NEW HAVEN, CT 06510-2716
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
017300
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001173004
—
CT
Enumeration date
12/20/2005
Last updated
09/20/2012
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