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Individual

DR. CHRISTIN A. KNOWLTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 789-3131
(203) 789-3133
Mailing address
PO BOX 63099, DEPT. 4099, CHARLOTTE, NC 28263-3099
(203) 789-3131
(203) 789-3133

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
049596
CT
2085R0001X
Radiation Oncology Physician
MT189860
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
049596
LICENSE
CT
01
MY189860
PENNSYLVANIA MEDICAL LICENSE NUMBER
PA
Enumeration date
06/16/2008
Last updated
07/21/2011
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