Individual
DECLAN MCGUONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBCHB
Contact information
Practice address
YALE PATHOLOGY, 20 YORK STREET, EP2-631, NEW HAVEN, CT 06510
(203) 785-6424
(203) 785-3585
Mailing address
YSM, BRADY MEMORIAL LABORATORY, 310 CEDAR STREET, PO BOX 208023, NEW HAVEN, CT 06520-8023
(203) 785-3624
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
Primary
60303
CT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
L-247485
MA
Other
Enumeration date
09/14/2011
Last updated
05/01/2018
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