Individual provider · Type 1 NPI

Diana G. Poulsen

Medical Physician Assistant · New Haven, CT

NPI number 1962872523 Active

Practice location

Yale New Haven Pediatric Ed, 1 Park St
New Haven, CT 06504

Call (203) 688-4242 Map

Mailing address

177 Candlewood Rd
Fairfield, CT 06825-3662

Other practice locations

  • 15 W Main St # C201, Norwalk, CT 06851 · (508) 314-0044

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700X4174 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1962872523

Diana G. Poulsen's National Provider Identifier is 1962872523, issued on Sep 25, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New Haven, CT. The record was last updated on Aug 20, 2019.