Individual
DYAN GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 LONG WHARF DR, SUITE 105, NEW HAVEN, CT 06511-5991
(203) 865-3737
(203) 624-0751
Mailing address
1 LONG WHARF DR, SUITE 105, NEW HAVEN, CT 06511-5991
(203) 865-3737
(203) 624-0751
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
038502
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001385021
—
CT
Enumeration date
10/13/2006
Last updated
04/15/2014
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