Individual
ALESSANDRA CAPOBIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1450 CHAPEL ST, NEMG - YNH GERIATRIC SERVICES, NEW HAVEN, CT 06511-4405
(203) 688-8200
(203) 688-8204
Mailing address
1450 CHAPEL ST, NEMG - YNH GERIATRIC SERVICES, NEW HAVEN, CT 06511-4405
(203) 688-8200
(203) 688-8204
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
55077
CT
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
55077
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0982346
CIGNA
CT
01
—
1053679431
CONNECTICARE
CT
05
—
1053679431
—
CT
01
—
1474140
WELLCARE
CT
01
—
3082578
COVENTRY
CT
01
—
4950610
AETNA
CT
01
—
AA562455
HARVARD PILGRIM
CT
01
—
P5755157
OXFORD
CT
Enumeration date
04/24/2012
Last updated
08/17/2021
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