Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 61817 | CT |
NPI | 1053670646 |
---|---|
Provider Name | Julie Yip |
First Address | Milford, CT 06460-3273 |
Second Address | Milford, CT 06460 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2012 |
Last Update Date | 01/05/2019 |