Individual
JURGEN LUDWIG HOLLECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
950 CAMPBELL AVE, VACT HEALTHCARE, WEST HAVEN, CT 06516
(203) 932-5711
Mailing address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
040023
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001400233
—
CT
Enumeration date
03/03/2006
Last updated
11/25/2014
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