Individual
LEEN BAKKALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
874 HOWARD AVE, NEW HAVEN, CT 06519-1106
(203) 688-8200
(203) 688-8204
Mailing address
874 HOWARD AVE, NEW HAVEN, CT 06519-1106
(203) 688-8200
(203) 688-8204
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
047147
CT
Other
Enumeration date
08/19/2007
Last updated
07/09/2009
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