Individual
ANIA M JASTREBOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
333 CEDAR ST, YALE UNIVERSITY SCHOOL OF MEDICINE - ENDOCRINOLOGY, NEW HAVEN, CT 06510-3206
(203) 737-1932
Mailing address
PO BOX 208020, YALE UNIVERSITY SCHOOL OF MEDICINE - ENDOCRINOLOGY, NEW HAVEN, CT 06520-8020
(203) 737-1932
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
048393
CT
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
048393
CT
208000000X
Pediatrics Physician
048393
CT
2080P0205X
Pediatric Endocrinology Physician
048393
CT
Other
Enumeration date
09/12/2006
Last updated
01/12/2012
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