Individual
MYRON GENEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 CHURCH ST S, SUITE 511, NEW HAVEN, CT 06519-1717
(203) 764-9199
(203) 764-9149
Mailing address
300 GEORGE ST, 6TH FLOOR PO BOX 9805, NEW HAVEN, CT 06536-0805
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
015175
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001151752
—
CT
Enumeration date
11/22/2005
Last updated
07/03/2008
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