NPI 1609058080 · live from the CMS NPI Registry
Keith A Choate, M.D., Ph.D.
Dermatology in New Haven, CT. National Provider Identifier 1609058080, active.
NPI record
| NPI | 1609058080 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 2 Church St S, Yale Dermatology Associates, New Haven, CT 06519 |
| Practice phone | 203-789-1249 |
| Mailing address | 333 Cedar St, Department Of Dermatology, Lci501, New Haven, CT 06510 |
| Enumerated | November 28, 2007 |
| Last updated | December 7, 2009 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 045905 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.