Individual
WALTER BRUCE LUNDBERG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 867-5420
(203) 867-5422
Mailing address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 867-5420
(203) 867-5422
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
016677
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001166776
—
CT
Enumeration date
06/06/2006
Last updated
01/28/2013
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