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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