Individual
DAVID BERUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
950 CAMPBELL AVE, VACT HEALTHCARE SYSTEM, WEST HAVEN, CT 06516
(203) 932-5711
Mailing address
950 CAMPBELL AVE, VACT HEALTHCARE SYSTEM, WEST HAVEN, CT 06516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
032263
CT
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
032263
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001322635
—
CT
Enumeration date
10/18/2006
Last updated
04/07/2010
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