Individual
BETHANN MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
333 CEDAR ST., YALE MEDICAL SCHOOL, NEW HAVEN, CT 06510-3220
(203) 688-2259
Mailing address
90 HOWE ST., UNIT B, NEW HAVEN, CT 06511
(954) 732-3143
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1.055730
CT
Other
Enumeration date
05/11/2013
Last updated
03/16/2017
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