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Individual

INGRID BRINKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
20 YORK ST, CB-2041, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740
Mailing address
20 YORK ST, CB-2041, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10041494
TX
208M00000X
Hospitalist Physician
Primary
54846
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BP10041494
TEXAS MEDICAL BOARD BASIC PERMIT TO PRACTICE MEDICINE
TX
Enumeration date
06/18/2011
Last updated
03/01/2016
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