NPI 1003005703
Internal Medicine of West Haven LLC
Practice location
- Address
- 764 Campbell Ave Suite E, West Haven, CT 06516-3786
- Phone
- (203) 931-0034
- Fax
- (203) 931-8225
- Mailing address
- 764 Campbell Ave, West Haven, CT 06516-3786
Authorised official
- Name
- Marizelle Flores
- Title
- Credentialing Manager
- Phone
- (860) 944-4766
Registered specialties (2)
Internal Medicine Physician
Primary
Behavioral Neurology & Neuropsychiatry Physician
Registry record
- NPI
- 1003005703
- Entity type
- Organization
- NPI issued
- 18 Oct 2007
- Record last updated
- 11 Feb 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.