Individual
DR. NICOLE A FOUBISTER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
230 S FRONTAGE RD, BOX 207900, NEW HAVEN, CT 06519-1124
(203) 785-5050
(203) 785-7400
Mailing address
1220 ASPEN GLEN DR, HAMDEN, CT 06518-5318
(203) 288-6086
(203) 785-7400
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
042669
CT
Other
Enumeration date
12/20/2005
Last updated
07/08/2007
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