Individual
DR. PETER SCHULAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 YORK ST, NP-4, SMILOW CANCER CENTER - YNHH, NEW HAVEN, CT 06510-3202
(203) 200-4822
(203) 200-2099
Mailing address
P.O. BOX 208041, FMP 316, YALE SCHOOL OF MEDICINE, DEPT OF UROLOGY, NEW HAVEN, CT 06520-8041
(203) 785-2815
(203) 785-4043
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
50525
CT
208800000X
Urology Physician
A71468
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A714680
—
CA
Enumeration date
07/20/2006
Last updated
08/14/2012
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