Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | 626 | CT |
NPI | 1487857231 |
---|---|
Provider Name | Dr. Kathleen Mary Brown Barone |
First Address | New Haven, CT 06511-5363 |
Second Address | New Haven, CT 06511-5363 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4081402 | (05) | CT |