Individual
PAULINE RAQUEL HOLMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
464 CONGRESS AVE STE 260, NEW HAVEN, CT 06519-1362
(203) 737-2644
Mailing address
9 KILLDEER RD, HAMDEN, CT 06517-3529
(323) 459-5901
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
168222
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2016
Last updated
05/23/2020
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