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291 WHITNEY AVE SUITE 201 NEW HAVEN CT 65113762
DEBORAH BOVILSKY is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1538267448. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 2961679329. The primary specialty is . The organization is . The address is 291 WHITNEY AVE, SUITE 201, NEW HAVEN, CT, 65113762. The zip code is 65113762.
|Nation Provider ID||1538267448|
|PAC ID by PECOS||2961679329|
|Professional Enrollment ID||I20120125000847|
|Medical School Name||OTHER|
|All secondary specialties|
|Group Practice PAC ID|
|Number of Group Practice members||0|
|Address||291 WHITNEY AVE, SUITE 201, NEW HAVEN, CT, 65113762|
|Hospital affiliation LBN|