Active NPIIndividual provider

Jean L Bolognia, MD

Dermatology in New Haven, Connecticut

NPI Number1942291331
Practice location
15 York St, New Haven, CT 06510-3221
Fax
203-785-3315
Last updated
May 22, 2008

Jean L Bolognia is a Dermatology based in New Haven, CT. Jean L Bolognia practices in New Haven, CT and has the professional credentials of MD. The NPI Number for Jean L Bolognia is 1942291331 and holds a License No. 025790 (CT). The current practice location address for Jean L Bolognia is 15 York St, New Haven, CT 06510-3221 and can be reached out via phone at 203-785-4632 and via fax at 203-785-3315.

Provider Profile Details

NPI Number
1942291331
Provider Name
Jean L Bolognia
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
15 York St, New Haven, CT 06510-3221
Phone Number
203-785-4632
Fax Number
203-785-3315
Primary Taxonomy
Dermatology · 207N00000X
Sole Proprietor
No
Provider Enumeration Date
November 3, 2005
Last Update Date
May 22, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 York St
New Haven, CT 06510-3221
Zip
06510-3221
Phone Number
203-785-4632
Fax Number
203-785-3315
New Haven, CT 06510Get directions →

Provider Business Mailing Address Details

Address
Po Box 9805
300 George St, 6TH Floor
New Haven, CT 06536-0805
City
New Haven
State
CT
Zip
06536-0805
Phone Number
203-785-7998

License Information

License Number
025790
License State
CT
Taxonomy
Dermatology · 207N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Jean L Bolognia, MD?

The NPI number of Jean L Bolognia, MD is 1942291331. It was assigned on November 3, 2005 and is currently active in the NPPES registry.

What is the specialty of Jean L Bolognia, MD?

Jean L Bolognia, MD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in CT under license number 025790.

Where does Jean L Bolognia, MD practice?

The practice location is 15 York St, New Haven, CT 06510-3221. The office can be reached at 203-785-4632 (phone) or 203-785-3315 (fax).

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 1942291331 directly on the NPPES registry website.

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