Provider Demographics
NPI:1508857913
Name:RINDER, HENRY M (MD)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:M
Last Name:RINDER
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:20 YORK ST
Mailing Address - Street 2:YNHH - CLINIC BUILDING, ROOM 407
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-3220
Mailing Address - Country:US
Mailing Address - Phone:203-785-2153
Mailing Address - Fax:203-688-7340
Practice Address - Street 1:20 YORK ST
Practice Address - Street 2:YNHH - CLINIC BUILDING, ROOM 407
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3220
Practice Address - Country:US
Practice Address - Phone:203-785-2153
Practice Address - Fax:203-688-7340
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT028773207ZP0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001287730Medicaid
CT830000032Medicare ID - Type Unspecified
F40789Medicare UPIN