Clarisse Melinda F San Juan, MD
Physical Medicine & Rehabilitation, Pain Medicine in New Haven, Connecticut
1245750132- Practice location
- 20 York St, New Haven, CT 06510-3220
- Phone
- 203-688-4242
- Fax
- —
- Last updated
- August 18, 2023
Clarisse Melinda Fong San Juan is a Physical Medicine & Rehabilitation, Pain Medicine based in New Haven, CT. Clarisse Melinda Fong San Juan practices in New Haven, CT and has the professional credentials of MD. The NPI Number for Clarisse Melinda Fong San Juan is 1245750132 and holds a License No. 72590 (CT). The current practice location address for Clarisse Melinda Fong San Juan is 20 York St, New Haven, CT 06510-3220 and can be reached out via phone at 203-688-4242.
Provider Profile Details
- NPI Number
- 1245750132
- Provider Name
- Clarisse Melinda Fong San Juan
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 20 York St, New Haven, CT 06510-3220
- Phone Number
- 203-688-4242
- Primary Taxonomy
- Physical Medicine & Rehabilitation, Pain Medicine · 2081P2900X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 22, 2017
- Last Update Date
- August 18, 2023
- Certification Date
- August 18, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 York St
New Haven, CT 06510-3220 - City
- New Haven
- State
- Connecticut
- Zip
- 06510-3220
- Phone Number
- 203-688-4242
Provider Business Mailing Address Details
- Address
- 20 York St
New Haven, CT 06510-3220 - City
- New Haven
- State
- CT
- Zip
- 06510-3220
- Phone Number
- 203-688-4242
License Information
- License Number (1)
- 72590
- License State (1)
- CT
- Taxonomy (1)
- Physical Medicine & Rehabilitation · 208100000X
- License Number (2)
- 72590
- License State (2)
- CT
- Taxonomy (2)
- Physical Medicine & Rehabilitation, Pain Medicine · 2081P2900X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Clarisse Melinda F San Juan, MD?
The NPI number of Clarisse Melinda F San Juan, MD is 1245750132. It was assigned on June 22, 2017 and is currently active in the NPPES registry.
What is the specialty of Clarisse Melinda F San Juan, MD?
Clarisse Melinda F San Juan, MD is registered under the primary taxonomy Physical Medicine & Rehabilitation, Pain Medicine (code 2081P2900X), licensed in CT under license number 72590.
Where does Clarisse Melinda F San Juan, MD practice?
The practice location is 20 York St, New Haven, CT 06510-3220. The office can be reached at 203-688-4242 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245750132 directly on the NPPES registry website.