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Contact Information

MARK A OLDHAM, MD
20 YORK ST
FITKIN 615
NEW HAVEN, CT06510
 Phone: 203-785-2618
 Fax: 203-737-2221
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychosomatic Medicine

2084P0015X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for MARK A OLDHAM · (Male)

NPI Number 1841420726
Status Active
Credentials MD
Entity Individual
Enumeration date 07/25/2009
Last updated 06/29/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 051681
  • MA License # AH 1918018-5244
  • NY License # 291484
Hospital affiliation(s)
  • STRONG MEMORIAL HOSPITAL - (Acute Care)
    601 ELMWOOD AVE
    ROCHESTER, NY 14642
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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