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Organization
YALE-NEW HAVEN HOSPITAL
Active
Organization
YALE-NEW HAVEN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD D'AQUILLA (PRESIDENT)
(203) 688-2606
Entity
Organization
Contact information
Practice address
1450 CHAPEL ST, ORAL & MAXILLOFACIAL SURGERY, NEW HAVEN, CT 06511-4405
(203) 688-1288
(203) 688-4461
Mailing address
20 YORK STREET - DENTAL, NEW HAVEN, CT 06510-3220
(203) 688-1288
(203) 688-4461
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0044
CT
Other
Enumeration date
04/03/2015
Last updated
04/03/2015
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