Individual
LISA PUGLISI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 YORK ST, YALE-NEW HAVEN HOSPITAL, NEW HAVEN, CT 06510
(203) 688-5555
(203) 688-4516
Mailing address
333 CEDAR ST, P.O. BOX 208030, NEW HAVEN, CT 06520
(203) 688-5555
(203) 688-4516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
050755
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004217099
—
CT
05
—
008041410
—
CT
05
—
008056033
—
CT
05
—
008056168
—
CT
05
—
008068298
—
CT
Enumeration date
05/05/2009
Last updated
07/21/2022
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