Individual
DR. AMELIA WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
428 COLUMBUS AVENUE, CORNELL SCOTT-HILL HEALTH CENTER, NEW HAVEN, CT 06519-1233
(203) 503-3000
(203) 503-3224
Mailing address
PO BOX 7720, CREDENTIALING SPECIALIST, NEW HAVEN, CT 06519-0720
(203) 503-3174
(203) 503-3183
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
53375
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235900
—
CT
Enumeration date
03/29/2011
Last updated
07/21/2022
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