NPI 1245750132

Clarisse Melinda Fong San Juan, MD

Practitioner Pain Medicine (Physical Medicine & Rehabilitation) Physician New Haven, CT

Practice location

Address: 20 York St, New Haven, CT 06510-3220
Phone: (203) 688-4242

Registered specialties (2)

Pain Medicine (Physical Medicine & Rehabilitation) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081P2900X Licence 72590 (CT)

Other Physical Medicine & Rehabilitation providers in Connecticut →

Physical Medicine & Rehabilitation Physician

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 72590 (CT)

Registry record

NPI: 1245750132
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jun 2017
Record last updated: 18 Aug 2023

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.