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Organization
YALE NEW HAVEN HOSPITAL - SRC
Active
Organization
YALE NEW HAVEN HOSPITAL - SRC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL OLIVER PA-C (PHYSICIAN'S ASSISTANT)
(203) 376-9368
Entity
Organization
Contact information
Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 789-3000
Mailing address
208 NEWRIDGE AVE, WATERBURY, CT 06708-1093
(203) 592-1271
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
6667
CT
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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