San Juan, Clarisse Melinda Fong

San Juan, Clarisse Melinda Fong is an sole proprietor health care provider with primary practice located at 20 York St , New Haven CT 06510-3220. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. San Juan, Clarisse Melinda Fong can be contacted via phone (203) 688-4242.

Contact Information

Primary practice address
20 York St New Haven CT 06510-3220
Phone: (203) 688-4242
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 72590 Connecticut
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 72590 Connecticut

Profile Details

NPI number 1245750132
LBN Legal business name San Juan, Clarisse Melinda Fong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2017
Last updated Aug 18th, 2023 - about 2 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.

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