Organization
MEDICAL ASSOCIATES OF NORTH HAVEN LLC
Active
Organization
MEDICAL ASSOCIATES OF NORTH HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDA SANSONE (PRACTICE ADMINISTRATOR)
(203) 234-1891
Entity
Organization
Contact information
Practice address
100 BROADWAY, NORTH HAVEN, CT 06473-2365
(203) 234-1891
(203) 234-7037
Mailing address
100 BROADWAY, NORTH HAVEN, CT 06473-2365
(203) 234-1891
(203) 234-7037
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004220464
—
CT
Enumeration date
10/17/2006
Last updated
12/05/2014
Update your record
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