Individual
DR. JESSE BOHRER-CLANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
464 CONGRESS AVE, SUITE 260, NEW HAVEN, CT 06519-1361
(203) 785-4404
(203) 785-4580
Mailing address
464 CONGRESS AVE, SUITE 260, NEW HAVEN, CT 06519-1361
(203) 785-4404
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
53979
CT
Other
Enumeration date
06/06/2012
Last updated
04/09/2015
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