Individual
DR. BROOKE BALLANTINE REDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-2320
Mailing address
333 CEDAR ST, P. O. BOX 208064, NEW HAVEN, CT 06510-3206
(203) 688-2320
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
256055
MA
208000000X
Pediatrics Physician
265354
MA
208000000X
Pediatrics Physician
55761
CT
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
55761
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2013
Last updated
06/15/2021
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