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1629004452
DOUGLAS L IDELSON
NEW HAVEN, CT
NPI
1629004452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: CT 039521)
Enumeration Date
2006-06-23
Last Update Date
2016-10-04
Business Address
Dr. DOUGLAS L IDELSON M.D.
55 LOCK ST
NEW HAVEN, CT 06511-3603
Phone number: 203-432-0206
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Mailing Address
Dr. DOUGLAS L IDELSON M.D.
55 LOCK ST
NEW HAVEN, CT 06511-3603
Phone number: 203-432-0206
Copy
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