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SURGICAL ASSOCIATES OF NEW HAVEN PC NPI 1255487989


NPI Information

NPI: 1255487989
Provider Name: SURGICAL ASSOCIATES OF NEW HAVEN, PC
Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 07D0098256

Address:
60 TEMPLE ST
SUITE 5A
NEW HAVEN, CT
ZIP 06510
Phone: (203) 772-0650
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SURGICAL ASSOCIATES OF NEW HAVEN, PC is a surgery in New Haven, CT. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. SURGICAL ASSOCIATES OF NEW HAVEN, PC NPI is 1255487989. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

60 TEMPLE ST
SUITE 5A
NEW HAVEN, CT
ZIP 06510-716
Phone: (203) 772-0650
Fax: (203) 785-9097

The provider's authorized official is Lisa Edwards .
The authorized official title is Practice Administrator and has the following contact phone number (203) 772-0650.

The CLIA number assigned to this NPI record is 07D0098256 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/26/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryCONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14058491MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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