Individual
LIANE E PHILPOTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 YORK ST, YNHH SOUTH PAVILION - 2ND FLOOR, NEW HAVEN, CT 06510-3220
(203) 688-2433
(203) 688-9258
Mailing address
20 YORK ST, YNHH SOUTH PAVILION - 2ND FLOOR, NEW HAVEN, CT 06510-3220
(203) 688-2433
(203) 688-9258
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
033238
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001332387
—
CT
Enumeration date
11/09/2005
Last updated
03/18/2011
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