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Individual

ADAM ERIC LUDVIGSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
400 COLUMBUS AVE, CREDENTIALING SPECIALIST, NEW HAVEN, CT 06519-1233
(203) 503-3174
(203) 503-6515

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
63732
CT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/14/2014
Last updated
08/13/2020
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