Organization
YNH GERIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER N. HERBERT M.D. (PRESIDENT)
(203) 688-2604
Entity
Organization
Contact information
Practice address
874 HOWARD AVE, NEW HAVEN, CT 06519-1106
(203) 688-8200
(203) 688-8204
Mailing address
874 HOWARD AVE, NEW HAVEN, CT 06519-1106
(203) 688-8200
(203) 688-8204
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004202131
—
CT
Enumeration date
07/27/2007
Last updated
01/09/2009
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