Individual provider · Type 1 NPI
Clarisse Melinda Fong San Juan, MD
Pain Medicine (Physical Medicine & Rehabilitation) Physician · New Haven, CT
Practice location
20 York St
New Haven, CT 06510-3220
Other practice locations
- 659 George St, New Haven, CT 06511-5324 · (203) 680-7542
- 111 Goose Ln, Guilford, CT 06437-5101 · (203) 204-0400
- 8 Devine St, North Haven, CT 06473-2172 · (877) 925-3637
- 1 Long Wharf Dr Fl 6, New Haven, CT 06511-5991 · (203) 688-8800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 72590 (CT) |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician Primary | 2081P2900X | 72590 (CT) |
Pain Medicine (Physical Medicine & Rehabilitation) Physician: A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
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About NPI 1245750132
Clarisse Melinda Fong San Juan, MD's National Provider Identifier is 1245750132, issued on Jun 22, 2017. The primary taxonomy on file is Pain Medicine (Physical Medicine & Rehabilitation) Physician (2081P2900X), and the practice location is in New Haven, CT. The record was last updated on Aug 18, 2023.