Andre Ghantous, M.D.
Internal Medicine, Cardiovascular Disease in New Haven, CT. Individual provider (NPI-1).
NPI number1790731354
StatusActive
Last updated in NPPESNov 19, 2013
Details
- NPI
- 1790731354
- Entity type
- Individual (NPI-1)
- Name
- Andre Ghantous
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 25, 2006
- Last updated
- Nov 19, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 035612 | CT | Yes |
Practice location
1450 Chapel StNew Haven, CT 06511-4405
Phone 203-789-4290 · Fax 203-789-6046
Mailing address
1450 Chapel StNew Haven, CT 06511-4405
Phone 203-789-6044 · Fax 203-789-6046
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