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Individual

FREDERICK LEWIS ALTICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
789 HOWARD AVE, DANA BLDG - 3RD FL, NEW HAVEN, CT 06519-1304
(203) 785-4140
(203) 737-4051
Mailing address
PO BOX 9805, 300 GEORGE ST 6TH FLOOR, NEW HAVEN, CT 06536-0805
(203) 785-7998

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
030743
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001307439
CT
Enumeration date
11/21/2005
Last updated
07/21/2022
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