CLARISSE MELINDA FONG SAN JUAN MD
Individual Provider (NPI-1)
Active
Physical Medicine & Rehabilitation, Pain Medicine
Provider Information
- NPI Number
1245750132- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 20 YORK ST, NEW HAVEN, CT, 065103220
- Phone
- (203) 688-4242
Specialties & Taxonomies
Physical Medicine & Rehabilitation
License: CT #72590
Physical Medicine & Rehabilitation, Pain Medicine
Primary License: CT #72590