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
2560 DIXWELL AVE, HAMDEN, CT 06514-1851
(203) 688-1288
(203) 688-4461
Mailing address
20 YORK STREET - DENTAL, NEW HAVEN, CT 06510-3202
(203) 688-1288
(203) 688-4461
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0044
CT
1223P0221X
Pediatric Dentistry
0044
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004011318
—
CT
Enumeration date
04/03/2015
Last updated
04/03/2015
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