BRIAN T GIRARD

NEW HAVEN, CT
NPI1730146135
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: CT  55012)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: CT  001255)
363AS0400X Physician Assistant, Surgical
(Licence: CT  001255)
390200000X Student in an Organized Health Care Education/Training Program
2085R0202X Radiology, Diagnostic Radiology
(Licence: NH  LT-3705)
Enumeration Date2006-04-28
Last Update Date2016-07-06
Business Address
-- BRIAN T GIRARD D.O.
20 YORK ST YNHH TOMPKINS 2, RM 226
NEW HAVEN, CT 06510-3220
Phone number: 203-688-9503
Mailing Address
-- BRIAN T GIRARD D.O.
20 YORK ST YNHH TOMPKINS 2, RM 226
NEW HAVEN, CT 06510-3220
Phone number: 203-688-9503