Provider Demographics
NPI:1902960230
Name:KNAUERT, MELISSA PAULINE (MD)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:PAULINE
Last Name:KNAUERT
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Gender:F
Credentials:MD
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Mailing Address - Street 1:20 YORK ST # T-209
Mailing Address - Street 2:YALE-NEW HAVEN HOSPITAL
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-3220
Mailing Address - Country:US
Mailing Address - Phone:203-287-3550
Mailing Address - Fax:203-287-3551
Practice Address - Street 1:20 YORK ST # T-209
Practice Address - Street 2:YALE-NEW HAVEN HOSPITAL
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3220
Practice Address - Country:US
Practice Address - Phone:203-287-3550
Practice Address - Fax:203-287-3551
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2015-04-18
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Provider Licenses
StateLicense IDTaxonomies
CT050520207RC0200X, 207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease