Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLARISSE MELINDA FONG SAN JUAN, MD
Active Sole ProprietorCLARISSE MELINDA FONG SAN JUAN, MD is a Pain Medicine (PM&R) healthcare provider located in NEW HAVEN, Connecticut. NPI 1245750132 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine (PM&R) · NEW HAVEN, CT
Registration Details
- NPI Number
- 1245750132
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 22, 2017 (9.1804614537916 yrs)
- Last Updated
- Aug 18, 2023
- Licenses
-
72590 (CT)72590 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
20 YORK STNEW HAVEN, CT, 065103220Browse CT providers · Browse ZIP 06510
- Phone
- 2036884242
- Primary Specialty
-
Pain Medicine (PM&R)
2081P2900X
- Additional Specialty
- Pain Medicine (PM&R)
Other Pain Medicine (PM&R) Providers in NEW HAVEN, CT
| Name | Credential | NPI |
|---|---|---|
| MARTIN P HASENFELD | MD | 1477568053 |
| DR. DAVID EMMANUEL GUTIERREZ | M.D. | 1760828172 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.