NPI 1275564700

Martinez McKeithan, HS

Practitioner Other Technician New Haven, CT

Practice location

Address: 120 Woodward Ave Commander Uscg Sector Long Island Sound, New Haven, CT 06512-3628
Phone: (203) 468-4593
Fax: (203) 468-4483
Mailing address: 120 Woodward Ave Commander Uscg Sector Long Island Sound, New Haven, CT 06512

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Connecticut →

Registry record

NPI: 1275564700
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jul 2006
Record last updated: 8 Jul 2007

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.