# WEST HAVEN VA PODIATRIC SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Connecticut Healthcare Consortium
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134381122
- **Authorized official:** DR. GERALD GORECKI DPM (DIRECTOR OF PODIATRIC SURGERY)
- **Authorized official phone:** (203) 932-5711

## Contact information

- **Practice address:** 950 CAMPBELL AVE, WEST HAVEN, CT 06516
- **Practice address phone:** (203) 932-5711
- **Mailing address:** 90 GERRISH AVE, APT 62, EAST HAVEN, CT 06512
- **Mailing address phone:** (267) 258-7344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 390200000X | CT | Yes |

## Other

- **Enumeration date:** 06/30/2008
- **Last updated:** 06/30/2008