Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 52224 | CT |
N | 111NI0900X | Internist | 52224 | CT |
N | 207RC0000X | Internist - Cardiovascular Disease | 52224 | CT |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 52224 | CT |
NPI | 1033244587 |
---|---|
Provider Name | Dr. James Van Rensselaer Hunt Freeman |
First Address | New Haven, CT 06519-1369 |
Second Address | New Haven, CT 06519-1369 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2007 |
Last Update Date | 19/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
52224 | CONNECTICUT (01) | CT |
A88410 | MEDICAL LICENSE NUMBER (01) | CA |