Individual
GEOFFREY LAL CHUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
789 HOWARD AVE, FITKIN BUILDING, NEW HAVEN, CT 06519-1304
(203) 785-4198
(203) 785-3826
Mailing address
PO BOX 9805, 300 GEORGE ST 6TH FLOOR, NEW HAVEN, CT 06536-0805
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036156
CT
207RP1001X
Pulmonary Disease Physician
Primary
036156
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001361568
—
CT
Enumeration date
11/26/2005
Last updated
06/25/2008
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