Individual
THOMAS O CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 HOWARD AVE, NEW HAVEN, CT 06519-1369
(203) 764-9199
(203) 764-9149
Mailing address
1 LONG WHARF DR, # 2ND, NEW HAVEN, CT 06511-5991
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
027051
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001270511
—
CT
Enumeration date
11/25/2005
Last updated
09/13/2016
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