Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | D0066041 | MD |
N | 111NI0900X | Internist | D0066041 | MD |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 048005 | CT |
NPI | 1083844732 |
---|---|
Provider Name | Beatrice C Lupsa |
First Address | New Haven, CT 06510-3206 |
Second Address | New Haven, CT 06510-3206 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2009 |
Last Update Date | 21/09/2009 |