Brueckner, Martina
Brueckner, Martina is an individual health care provider with primary practice located at 800 Howard Avenue Yale Physicians Building, New Haven CT 06519. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as her primary health care specialty. Brueckner, Martina can be contacted via phone (203) 785-2140.Contact Information
Primary practice address
800 Howard Avenue Yale Physicians Building
New Haven CT 06519
Phone: (203) 785-2140
Fax: (203) 785-6414
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 029088 | Connecticut |
Profile Details
| NPI number | 1124003975 |
|---|---|
| LBN Legal business name | Brueckner, Martina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2005 |
| Last updated | Jul 21st, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124003975 | NPPES |
| Connecticut | MEDICAID | 001290882 |
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