Individual
MISS MAXINE COORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
428 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3000
Mailing address
428 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5505
CT
Other
Enumeration date
10/29/2013
Last updated
12/29/2013
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