Individual
EUGENIA BORIS BETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 LOCK ST, NEW HAVEN, CT 06511-3603
(518) 878-2508
Mailing address
466 CARRINGTON RD, BETHANY, CT 06524-3160
(518) 878-2508
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
65300
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2017
Last updated
07/21/2022
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