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Contact Information

WALTER B LUNDBERG JR, MD
1450 CHAPEL ST
NEW HAVEN, CT06511-4405
 Phone: 203-867-5420
 Fax: 203-867-5422
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for WALTER B LUNDBERG JR · (Male)

NPI Number 1538108485
Status Active
Credentials MD
Entity Individual
Enumeration date 06/06/2006
Last updated 01/28/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 016677
  • CT Medicaid 001166776
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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