Martina Brueckner
Pediatric Cardiologist
800 Howard Avenue Yale Physicians Building
New Haven
, Connecticut 06519
Martina Brueckner
Pediatric Cardiologist
800 Howard Avenue Yale Physicians Building
New Haven
, Connecticut 06519
(203) 785-6414
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About
Features
Specialties
- Pediatric Cardiologist
Languages spoken
- English
Location
First Address
- Martina Brueckner
- Po Box 9805 300 George Street 6th Floor
- New Haven, CT
- Zip : 06536-0805
- Fax : (203) 785-6414
- Phone : (203) 785-6610
Second Address
- Martina Brueckner
- 800 Howard Avenue Yale Physicians Building
- New Haven, CT
- Zip : 06519
- Fax : (203) 785-6414
- Phone : (203) 785-2140
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0202X | Pediatric Cardiologist | 029088 | CT |
National Provider Identifier
| NPI | 1124003975 |
|---|---|
| Provider Name | Martina Brueckner |
| First Address | New Haven, CT 06536-0805 |
| Second Address | New Haven, CT 06519 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/12/2005 |
| Last Update Date | 21/07/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001290882 | (05) | CT |
| E46920 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.