Organization
INTEGRATED MEDICAL OF NEW HAVEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LANCE GERSTENFELD MD (MANAGER)
(203) 773-1935
Entity
Organization
Contact information
Practice address
111 PARK ST, SUITE 1C, NEW HAVEN, CT 06511-5412
(203) 773-1935
(203) 773-0039
Mailing address
111 PARK ST, SUITE 1C, NEW HAVEN, CT 06511-5412
(203) 773-1935
(203) 773-0039
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
031959
CT
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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