Provider Demographics
NPI:1396922670
Name:HITTELMAN, ADAM BENJAMIN (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:BENJAMIN
Last Name:HITTELMAN
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:P.O. BOX 208058
Mailing Address - Street 2:DEPARTMENT OF UROLOGY, YALE SCHOOL OF MEDICINE
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06520-8058
Mailing Address - Country:US
Mailing Address - Phone:203-785-2815
Mailing Address - Fax:203-785-4043
Practice Address - Street 1:330 CEDAR STREET, #208058
Practice Address - Street 2:DEPARTMENT OF UROLOGY, YALE SCHOOL OF MEDICINE
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06520-8058
Practice Address - Country:US
Practice Address - Phone:203-785-2815
Practice Address - Fax:203-785-4043
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-29
Last Update Date:2012-10-30
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Provider Licenses
StateLicense IDTaxonomies
CAA82288208800000X, 2088P0231X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric Urology
No208800000XAllopathic & Osteopathic PhysiciansUrology