Individual
LUIS ENRIQUE KOLB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
1 LONG WHARF DR, FL 6, NEW HAVEN, CT 06511-5891
(203) 444-5641
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
55330
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2009
Last updated
06/23/2016
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