| Yale-new Haven Hospital | |
|
789 Howard Ave New Haven CT 06519-1304 | |
| (203) 688-2464 | |
| (203) 688-1426 |
| Full Name | Yale-new Haven Hospital |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 789 Howard Ave, New Haven, Connecticut |
| Authorized Official Name and Position | James Rawlings (EXECUTIVE DIR. OF COMMUNITY HEALTH) |
| Authorized Official Contact | 2036885645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yale-new Haven Hospital 20 York St Dental Department/dana 2 New Haven CT 06510-3220 Ph: (203) 688-2464 | Yale-new Haven Hospital 789 Howard Ave New Haven CT 06519-1304 Ph: (203) 688-2464 |
| NPI Number | 1962653287 |
|---|---|
| Provider Enumeration Date | 10/06/2008 |
| Last Update Date | 10/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962653287 | NPI | - | NPPES |
| 004011318 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Connecticut) | Primary |
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