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Individual

MICHAEL EDWIN HODSDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
20 YORK ST, YNHH CB 407, NEW HAVEN, CT 06510-3220
(203) 785-2153
(203) 688-7340
Mailing address
PO BOX 9805, 300 GEORGE ST 6TH FLOOR, NEW HAVEN, CT 06536-0805

Taxonomy

Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
038614
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001386144
CT
Enumeration date
11/03/2005
Last updated
07/08/2008
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