Organization
NEW CANAAN INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER G HASAPIS MD (MEMBER)
(203) 972-4255
Entity
Organization
Contact information
Practice address
173 EAST AVENUE, NEW CANAAN, CT 06840
(203) 972-4255
(203) 972-6345
Mailing address
173 EAST AVENUE, NEW CANAAN, CT 06840
(203) 972-4255
(203) 972-6345
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
03877
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002021666
UNITED HEALTH CARE
—
01
—
010038777CT02
ANTHEM BC BS
—
01
—
3387592
CIGNA
—
01
—
7610180
AETNA
—
01
—
P2068445
OXFORD
—
Enumeration date
12/13/2006
Last updated
05/08/2008
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