Individual
JAMES PRESTON EBAUGH II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 GEORGE ST, NEW HAVEN, CT 06511-6617
(203) 848-5599
Mailing address
1 MEDICAL CENTER DR, DHMC DEPARTMENT OF PSYCHIATRY, LEBANON, NH 03756-1000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
66483
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2017
Last updated
08/26/2020
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