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Organization
DEPAUL HEALTH SERVICES CORPORATION
Active
Organization
DEPAUL HEALTH SERVICES CORPORATION
Active
Other names
Saint Raphael Healthcare System Hamden Surgery Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DIANA T ELLISON MBA, CASC (EXECUTIVE DIRECTOR)
(203) 288-2555
Entity
Organization
Contact information
Practice address
2080 WHITNEY AVE, SUITE 100, HAMDEN, CT 06518-3600
(203) 288-2555
(203) 288-8048
Mailing address
2080 WHITNEY AVE, SUITE 100, HAMDEN, CT 06518-3600
(203) 288-2555
(203) 288-8048
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0266
CT
Other
Enumeration date
06/20/2006
Last updated
08/22/2020
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