Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 022232 | CT |
N | 207RI0011X | Interventional Cardiology | 022232 | CT |
NPI | 1023006269 |
---|---|
Provider Name | Michael W Cleman |
First Address | New Haven, CT 06511-6624 |
Second Address | Branford, CT 06405-3607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2005 |
Last Update Date | 25/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001222322 | (05) | CT |
D85266 | (02) |