Organization
SOUTHERN CONNECTICUT INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA LEHMAN (CREDENTIALING)
(203) 781-4444
Entity
Organization
Contact information
Practice address
150 SARGENT DR, SUITE1, NEW HAVEN, CT 06511-6100
(203) 781-4444
(203) 789-8341
Mailing address
150 SARGENT DR, SUITE1, NEW HAVEN, CT 06511-6100
(203) 781-4444
(203) 789-8341
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004197986
—
CT
01
—
G3079
RAILROAD MEDICARE
CT
Enumeration date
09/13/2006
Last updated
11/19/2009
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