Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 050126 | CT |
NPI | 1033377700 |
---|---|
Provider Name | Priyanka Deb |
First Address | New Haven, CT 06520-8042 |
Second Address | New Haven, CT 06519 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2008 |
Last Update Date | 18/07/2013 |