Individual
SAMUEL HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
501 CRESCENT ST, NEW HAVEN, CT 06515-1355
(203) 392-7278
Mailing address
409 CEDAR LN, CHESHIRE, CT 06410-2223
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CT
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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