Basic Information
Provider Information
NPI: 1225357809
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MACARTHUR
FirstName: KRISTIN
MiddleName: LOENING
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 40 TEMPLE ST
Address2: SUITE 4A
City: NEW HAVEN
State: CT
PostalCode: 065102715
CountryCode: US
TelephoneNumber: 2037770304
FaxNumber: 2035629316
Practice Location
Address1: 40 TEMPLE ST
Address2: SUITE 4A
City: NEW HAVEN
State: CT
PostalCode: 065102715
CountryCode: US
TelephoneNumber: 2037770304
FaxNumber: 2035629316
Other Information
ProviderEnumerationDate: 05/22/2010
LastUpdateDate: 01/09/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RG0100X055229CTY Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology

No ID Information.


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