Provider Demographics
NPI:1467644369
Name:MEYER, JAIMIE P (MD)
Entity Type:Individual
Prefix:DR
First Name:JAIMIE
Middle Name:P
Last Name:MEYER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JAIMIE
Other - Middle Name:A
Other - Last Name:PAUL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:135 COLLEGE ST
Mailing Address - Street 2:SUITE 323
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-2483
Mailing Address - Country:US
Mailing Address - Phone:203-688-6303
Mailing Address - Fax:203-737-4051
Practice Address - Street 1:20 YORK ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3220
Practice Address - Country:US
Practice Address - Phone:203-688-5303
Practice Address - Fax:203-688-3216
Is Sole Proprietor?:No
Enumeration Date:2007-08-14
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY243604207R00000X
CT47810207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine