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Contact Information

MICHAEL A IMEVBORE, MD
46 PRINCE ST
SUITE 306
NEW HAVEN, CT06519-1600
 Phone: 203-786-5067
 Fax: 203-786-5162
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MICHAEL A IMEVBORE · (Male)

NPI Number 1679660021
Status Active
Credentials MD
Entity Individual
Enumeration date 10/06/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 042335
  • CT License # 042335 CT
  • CT Medicaid 001423350
  • CT Other 36951 CONTROLLED SUBSTANCE NO
Hospital affiliation(s)
  • BRIDGEPORT HOSPITAL - (Acute Care)
    267 GRANT STREET
    BRIDGEPORT, CT 06610
  • YALE-NEW HAVEN HOSPITAL - (Acute Care)
    20 YORK ST
    NEW HAVEN, CT 06504
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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