Lundberg, Walter Bruce
Lundberg, Walter Bruce is an individual health care provider with primary practice located at 1450 Chapel St , New Haven CT 06511-4405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Lundberg, Walter Bruce can be contacted via phone (203) 867-5420.Contact Information
Primary practice address
1450 Chapel St
New Haven CT 06511-4405
Phone: (203) 867-5420
Fax: (203) 867-5422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 016677 | Connecticut |
Profile Details
| NPI number | 1538108485 |
|---|---|
| LBN Legal business name | Lundberg, Walter Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Jan 28th, 2013 - about 11 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 | 1538108485 | NPPES |
| Connecticut | MEDICAID | 001166776 |
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