Provider Demographics
NPI:1346457215
Name:ARLEN, ANGELA M (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:M
Last Name:ARLEN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:789 HOWARD AVENUE FMP 302
Mailing Address - Street 2:YALE MEDICINE DEPARTMENT OF UROLOGY
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06519
Mailing Address - Country:US
Mailing Address - Phone:203-785-4755
Mailing Address - Fax:203-785-4043
Practice Address - Street 1:20 YORK STREET
Practice Address - Street 2:YALE NEW HAVEN HOSPITAL
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510
Practice Address - Country:US
Practice Address - Phone:203-785-4755
Practice Address - Fax:203-785-4043
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2017-02-23
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Provider Licenses
StateLicense IDTaxonomies
IAR7864208800000X
GA675302088P0231X
IAMD-419302088P0231X
CT560482088P0231X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric Urology
No208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003131425AMedicaid