Douglas P Olson
FAIR HAVEN COMMUNITY HEALTH CLINIC INC


Address: 339 Eastern St, Bldg B, New Haven, CT 06513-2463
Phone: 2037777411

Douglas P Olson (NPI# 1972788792, PAC ID# 3476685538) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1972788792
PAC ID by PECOS 3476685538
Professional Enrollment ID I20100726000177
Full Name Douglas P Olson
Organization Legal Name FAIR HAVEN COMMUNITY HEALTH CLINIC INC
Address 339 Eastern St
Bldg B
New Haven
CT 06513-2463
Phone Number 2037777411
Gender M
Medical School GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2007
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 4183511538
Number of Group Practice Members 31
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
070022 YALE-NEW HAVEN HOSPITAL

Other Locations

Address Phone Organization
339 Eastern St, Bldg B, New Haven, CT 06513-2463 2037777411 FAIR HAVEN COMMUNITY HEALTH CLINIC INC
374 Grand Ave, New Haven, CT 06513-3733 2037777411 FAIR HAVEN COMMUNITY HEALTH CLINIC INC

Organization Information

Organization Legal Name FAIR HAVEN COMMUNITY HEALTH CLINIC INC
Physicians 30

Physicians with the same organization

Name Specialty Organization Address
Christopher O Phillips Internal Medicine Fair Haven Community Health Clinic Inc 374 Grand Ave, New Haven, CT 06513-3733
Leif Eric Petterson Nurse Practitioner Fair Haven Community Health Clinic Inc 426 E St, New Haven, CT 06511-5018
Anne W Camp Internal Medicine Fair Haven Community Health Clinic Inc 339 Eastern St, Bldg B, New Haven, CT 06513-2463
John C Mcdonagh Emergency Medicine Fair Haven Community Health Clinic Inc 370 Hemingway Ave, East Haven, CT 06512-3240
Ellen J Wormser Certified Nurse Midwife (cnm) Fair Haven Community Health Clinic Inc 374 Grand Ave, New Haven, CT 06513-3733
Kyle T Elligers Family Medicine Fair Haven Community Health Clinic Inc 374 Grand Ave, New Haven, CT 06513-3733
Elizabeth A Magenheimer Nurse Practitioner Fair Haven Community Health Clinic Inc 374 Grand Ave, New Haven, CT 06513-3733
Damaris Rodriguez Clinical Social Worker Fair Haven Community Health Clinic Inc 374 Grand Ave, New Haven, CT 06513-3733
Priscilla A Jencks Certified Nurse Midwife (cnm) Fair Haven Community Health Clinic Inc 374 Grand Ave, New Haven, CT 06513-3733
Oni A Muhammad Certified Nurse Midwife (cnm) Fair Haven Community Health Clinic Inc 374 Grand Ave, New Haven, CT 06513-3733

Office Location

Street Address 339 EASTERN ST
BLDG B
City NEW HAVEN
State CT
Zip 06513-2463

Physicians in the same location

Name Specialty Organization Address
Anne W Camp Internal Medicine Fair Haven Community Health Clinic Inc 339 Eastern St, Bldg B, New Haven, CT 06513-2463
Elizabeth M Roessler Physician Assistant Fair Haven Community Health Clinic Inc 339 Eastern St, Bldg B, New Haven, CT 06513-2463
Brian M Padilla Psychologist, Clinical Fair Haven Community Health Clinic Inc 339 Eastern St, Bldg B, New Haven, CT 06513-2463

Physicians in the same zip code

Name Specialty Organization Address
Timothy J Leffert Chiropractic 847 Foxon Rd, East Haven, CT 06513-1834
Christine Anne Blatchley Clinical Social Worker Catholic Charities Inc Archdiocese of Hartford 501 Lombard St, New Haven, CT 06513-2910
Chaundra C Bailey Clinical Social Worker 315 Peck St, New Haven, CT 06513-2933
Eric Goldberg Internal Medicine American Current Care Pa 370 James St, Suite 304, New Haven, CT 06513-3091
Robert T Sadock Internal Medicine American Current Care Pa 370 James St, Suite 304, New Haven, CT 06513-3091
Abigail Ellen Tischler Clinical Social Worker 315 Front St, New Haven, CT 06513-3200
Kenneth Schwarz Clinical Psychologist Dutchess Psychology Practice LLC 17 Pine St, New Haven, CT 06513-3237
Sameer Syed Internal Medicine 258 Grand Ave, Suite 1, New Haven, CT 06513-3723
Christopher O Phillips Internal Medicine Fair Haven Community Health Clinic Inc 374 Grand Ave, New Haven, CT 06513-3733
Ellen J Wormser Certified Nurse Midwife (cnm) Fair Haven Community Health Clinic Inc 374 Grand Ave, New Haven, CT 06513-3733
Find all physicians in zip 06513

Competitor

Search similar physicians

City NEW HAVEN
Zip Code 06513
Specialty INTERNAL MEDICINE
City + Specialty NEW HAVEN + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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