Individual
MERILYN S VARGHESE THENGONE
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) 688-4748
(203) 688-4740
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
61120
CT
207RC0000X
Cardiovascular Disease Physician
Primary
61120
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2015
Last updated
06/01/2023
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