Provider Demographics
NPI:1447204805
Name:GESCHWIND, JEAN-FRANCOIS H (MD)
Entity Type:Individual
Prefix:
First Name:JEAN-FRANCOIS
Middle Name:H
Last Name:GESCHWIND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 208042
Mailing Address - Street 2:RADIOLOGY AND BIOMEDICAL IMAGING
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06520-8042
Mailing Address - Country:US
Mailing Address - Phone:203-785-5865
Mailing Address - Fax:
Practice Address - Street 1:20 YORK ST
Practice Address - Street 2:RADIOLOGY AND BIOMEDICAL IMAGING
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3220
Practice Address - Country:US
Practice Address - Phone:203-785-5865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0548022085R0204X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD680541800Medicaid
MD680541800Medicaid
MDKR80810TMedicare PIN