Individual
COREY SELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
435 LEWIS AVE, MERIDEN, CT 06451-2101
(203) 694-8200
Mailing address
435 LEWIS AVE, MERIDEN, CT 06451-2101
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
76788
CT
207P00000X
Emergency Medicine Physician
81133-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2020
Last updated
08/14/2024
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