| Yale-new Haven Hospital | |
|
1450 Chapel St Oral & Maxillofacial Surgery New Haven CT 06511-4405 | |
| (203) 688-1288 | |
| (203) 688-4461 |
| Full Name | Yale-new Haven Hospital |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1450 Chapel St, New Haven, Connecticut |
| Authorized Official Name and Position | Richard D'aquilla (PRESIDENT) |
| Authorized Official Contact | 2036882606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yale-new Haven Hospital 20 York Street - Dental New Haven CT 06510-3220 Ph: (203) 688-1288 | Yale-new Haven Hospital 1450 Chapel St Oral & Maxillofacial Surgery New Haven CT 06511-4405 Ph: (203) 688-1288 |
| NPI Number | 1528453883 |
|---|---|
| Provider Enumeration Date | 04/03/2015 |
| Last Update Date | 04/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528453883 | NPI | - | NPPES |
| 004011318 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 0044 (Connecticut) | Primary |
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