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Individual

MICHAEL SIDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
20 YORK STREET, YNHH PEDIATRICS, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
YALE NEW HAVEN HOSPITAL, DEPARTMENT OF PEDIATRICS, 20 YORK STREET, NEW HAVEN, CT 06510-3220
(203) 688-4242

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
68673
CT
208000000X
Pediatrics Physician
ME173745
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
128553600
FL
Enumeration date
05/14/2018
Last updated
02/09/2026
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