Provider Demographics
NPI:1851552467
Name:WEISMANN, CONSTANCE GESINA (MD)
Entity Type:Individual
Prefix:DR
First Name:CONSTANCE
Middle Name:GESINA
Last Name:WEISMANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 CEDAR ST
Mailing Address - Street 2:DEPARTMENT OF PEDIATRICS, YALE SCHOOL OF MEDICINE
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-8064
Mailing Address - Country:US
Mailing Address - Phone:203-785-2022
Mailing Address - Fax:
Practice Address - Street 1:333 CEDAR ST
Practice Address - Street 2:DEPARTMENT OF PEDIATRICS, YALE SCHOOL OF MEDICINE
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-8064
Practice Address - Country:US
Practice Address - Phone:203-785-2022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0488222080P0202X
CAAFE996912080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology