Individual
AVLIN BARLOW IMAEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
950 CAMPBELL AVE, VA CT HEALTHCARE, WEST HAVEN, CT 06516-2770
(203) 932-5711
(203) 937-3873
Mailing address
237 LANDON'S WAY, GUILFORD, CT 06437-4362
(203) 785-7998
(203) 785-6414
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
041499
CT
207RG0100X
Gastroenterology Physician
041499
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001414995
—
CT
Enumeration date
12/05/2005
Last updated
04/25/2011
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