Individual
DR. JONATHAN SCOTT LEVENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 YORK ST, LMP-5040, NEW HAVEN, CT 06510-3221
(203) 785-4632
(203) 785-7637
Mailing address
15 YORK ST, LMP-5040, NEW HAVEN, CT 06510-3221
(203) 785-4632
(203) 785-7637
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
054840
CT
Other
Enumeration date
05/22/2012
Last updated
10/10/2016
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