Individual
GRACE EMILY DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 YORK STREET, YALE NEW HAVEN HOSPITAL- DEPARTMENT OF RADIOLOGY, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
20 YORK STREET, YALE NEW HAVEN HOSPITAL- DEPARTMENT OF RADIOLOGY, NEW HAVEN, CT 06510-3220
(203) 688-4242
(203) 688-9258
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT215175
PA
2085R0202X
Diagnostic Radiology Physician
Primary
74951
CT
390200000X
Student in an Organized Health Care Education/Training Program
63049
CT
Other
Enumeration date
06/12/2018
Last updated
06/16/2023
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