MICHELLE ANNE VAN NAME

NEW HAVEN, CT
NPI1811163363
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2080P0205X Pediatrics, Pediatric Endocrinology
(Licence: CT  50005)
Enumeration Date2008-05-05
Last Update Date2015-06-22
Business Address
-- MICHELLE ANNE VAN NAME
1 LONG WHARF DR SUITE 503
NEW HAVEN, CT 06511-5991
Phone number: 203-785-5809
Mailing Address
-- MICHELLE ANNE VAN NAME
1 LONG WHARF DR SUITE 503
NEW HAVEN, CT 06511-5991
Phone number: 203-785-5809
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