Individual
JOHN A PERSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 HOWARD AVE, YALE PHYSICIANS BUILDING-2ND FL, NEW HAVEN, CT 06519-1369
(203) 785-2571
(203) 785-5714
Mailing address
PO BOX 9805, 300 GEORGE ST, 6TH FLOOR, NEW HAVEN, CT 06536-0805
(203) 785-7998
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
032506
CT
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
032506
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001325069
—
CT
Enumeration date
12/07/2005
Last updated
04/24/2008
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