Organization
CONNECTICUT PULMONARY SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL IMEVBORE M.D. (OWNER)
(203) 786-5067
Entity
Organization
Contact information
Practice address
46 PRINCE ST, SUITE 306, NEW HAVEN, CT 06519-1600
(203) 786-5067
(203) 786-5162
Mailing address
PO BOX 8478, NEW HAVEN, CT 06530-0478
(203) 786-5067
(203) 786-5162
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
04/07/2011
Last updated
05/27/2014
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