Individual
DR. MARK ALAN OLDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 YORK ST, FITKIN 615, NEW HAVEN, CT 06510
(203) 785-2618
(203) 737-2221
Mailing address
20 YORK ST, FITKIN 615, NEW HAVEN, CT 06510
(203) 785-2618
(203) 737-2221
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
051681
CT
2084P0800X
Psychiatry Physician
291484
NY
2084P0800X
Psychiatry Physician
AH 1918018-5244
MA
Other
Enumeration date
07/25/2009
Last updated
06/29/2023
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