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
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