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NPI Code Detail

MEDICARE: ILJA HULINSKY MD PHD

MEDICARE:   ILJA  HULINSKY  MD PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RE0101XEndocrinology, Diabetes & Metabolism Physician037019CT

General Provider Information

NPI Number : 1134134018
Entity Type Code : Individual
Provider Name (Legal Business Name) : ILJA HULINSKY MD PHD
Provider Business Mailing Address
First Line : 22 WESTWOOD DR
Second Line :
City : EASTON
State : CT
Zip : 06612-2123
Country : US
Telephone Number : 203-374-4490
Fax Number : 203-374-0240
Provider Business Practice Location Address
First Line : 755 CAMPBELL AVE
Second Line :
City : WEST HAVEN
State : CT
Zip : 06516-3715
Country : US
Telephone Number : 203-374-4490
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2006
Last Update Date : 08/30/2015

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