Organization
SURGICAL ASSOCIATES OF NEW HAVEN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA EDWARDS (PRACTICE ADMINISTRATOR)
(203) 772-0650
Entity
Organization
Contact information
Practice address
60 TEMPLE ST, SUITE 5A, NEW HAVEN, CT 06510-2716
(203) 772-0650
(203) 785-9097
Mailing address
60 TEMPLE ST, SUITE 5A, NEW HAVEN, CT 06510-2716
(203) 772-0650
(203) 785-9097
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4058491
—
CT
Enumeration date
01/26/2007
Last updated
08/22/2020
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