Individual
JUSTIN ANDREW BLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1 LONG WHARF DR, NEW HAVEN, CT 06511-5991
(203) 781-4444
Mailing address
14 SHAW DR, NORTH HAVEN, CT 06473-2724
(203) 415-1721
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
12.014025
CT
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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