Chupp, Geoffrey Lal
Chupp, Geoffrey Lal is an individual health care provider with primary practice located at 789 Howard Ave Fitkin Building, New Haven CT 06519-1304. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Chupp, Geoffrey Lal can be contacted via phone (203) 785-4198.Contact Information
Primary practice address
789 Howard Ave Fitkin Building
New Haven CT 06519-1304
Phone: (203) 785-4198
Fax: (203) 785-3826
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 036156 | Connecticut |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 036156 | Connecticut |
Profile Details
| NPI number | 1811970577 |
|---|---|
| LBN Legal business name | Chupp, Geoffrey Lal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 26th, 2005 |
| Last updated | Jun 25th, 2008 - about 17 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 | 1811970577 | NPPES |
| Connecticut | MEDICAID | 001361568 |
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