Individual
YILU QIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
Mailing address
44 ORANGE ST APT 805, NEW HAVEN, CT 06510-3135
(203) 843-2630
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
65434
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2017
Last updated
05/21/2020
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