Individual
LEO MATHIAS COONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
789 HOWARD AVE, DANA BUILDING - 3RD FLOOR, NEW HAVEN, CT 06519-1304
(203) 688-2204
(203) 688-3876
Mailing address
PO BOX 9805, 300 GEORGE STREET 6TH FLOOR, NEW HAVEN, CT 06536-0805
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
018221
CT
207RR0500X
Rheumatology Physician
018221
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001182211
—
CT
Enumeration date
11/14/2005
Last updated
12/09/2020
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