Individual
TALIA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
34 PARK ST, NEW HAVEN, CT 06519-1109
(203) 506-2894
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
78825
CT
208600000X
Surgery Physician
060.0005026
VT
208D00000X
General Practice Physician
Primary
35.146772
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2020
Last updated
07/03/2024
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