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Individual

LAURA BERENSTAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
20 YORK ST, NEW HAVEN, CT 06510-3202
(203) 737-5919
Mailing address
333 CEDAR ST # TMP3, NEW HAVEN, CT 06510-3206

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
H8623
TX
207L00000X
Anesthesiology Physician
MD041599E
PA
207LP3000X
Pediatric Anesthesiology Physician
35.132328
OH
207LP3000X
Pediatric Anesthesiology Physician
Primary
76424
CT
207LP3000X
Pediatric Anesthesiology Physician
MD041599E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1020009890001
PA
01
113582EJL
MEDICARE PTAN
PA
05
126173708
TX
Enumeration date
07/20/2005
Last updated
11/29/2023
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