Individual
KELLY JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
333 CEDAR STREET, NEW HAVEN, CT 06520-8064
(203) 688-1947
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
56797
CT
Other
Enumeration date
05/27/2014
Last updated
07/01/2020
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