Provider Demographics
NPI:1497920813
Name:KRIEGEL, MARTIN ALEXANDER (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:ALEXANDER
Last Name:KRIEGEL
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 1:300 GEORGE ST
Mailing Address - Street 2:SUITE 353G
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-6624
Mailing Address - Country:US
Mailing Address - Phone:203-785-7901
Mailing Address - Fax:203-785-7903
Practice Address - Street 1:800 HOWARD AVE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519-1369
Practice Address - Country:US
Practice Address - Phone:203-737-5430
Practice Address - Fax:203-785-7053
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-26
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT051250282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital