NATALIE POONAM DEQUILLFELDT

NEW HAVEN, CT
NPI1710568258
Former NameNATALIE POONAM PHAGU
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: CT  80967)
Additional Taxonomies207R00000X Internal Medicine
(Licence: CO  DR.0073199)
Enumeration Date2021-04-16
Last Update Date2025-06-30
Business Address
NATALIE POONAM DEQUILLFELDT MD, MA
20 YORK ST
NEW HAVEN, CT 06510-3220
Phone number: 203-688-4242
Mailing Address
NATALIE POONAM DEQUILLFELDT MD, MA
20 YORK ST
NEW HAVEN, CT 06510-3220
Phone number: 203-688-4242