Individual
DR. DOUGLAS L IDELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LOCK ST, NEW HAVEN, CT 06511-3603
(203) 432-0206
(203) 432-0072
Mailing address
55 LOCK ST, NEW HAVEN, CT 06511-3603
(203) 432-0206
(203) 432-0072
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
039521
CT
Other
Enumeration date
06/23/2006
Last updated
10/04/2016
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