Individual
DR. LOUIS HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 PARK ST, NEW HAVEN, CT 06504-8901
(475) 837-1246
Mailing address
430 CONGRESS AVE, NEW HAVEN, CT 06519-1313
(475) 837-1246
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
297880
NY
208000000X
Pediatrics Physician
Primary
68887
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05714012
—
NY
01
—
13-3971298
EMPLOYEE IDENTIFICATION NUMBER
NY
Enumeration date
05/13/2016
Last updated
09/27/2023
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