Individual
DR. SHANNON P MARTINELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
303 WHITNEY AVE, NEW HAVEN, CT 06511-7204
(203) 397-1243
(203) 397-1241
Mailing address
303 WHITNEY AVE, NEW HAVEN, CT 06511-7204
(203) 397-1243
(203) 397-1241
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
37763
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001377630
—
CT
Enumeration date
04/18/2006
Last updated
12/08/2011
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