Individual
MS. KAREL M KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
374 GRAND AVE, NEW HAVEN, CT 06513-3733
(203) 777-7411
Mailing address
374 GRAND AVE, NEW HAVEN, CT 06515-3733
(203) 777-7411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
002494
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002494
LICENSE NUMBER
CT
Enumeration date
08/24/2006
Last updated
12/15/2010
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