Organization
NEW HAVEN SURGICAL ASSOCIATES,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PAUL AMODEO M.D. (PRESIDENT)
(203) 777-2376
Entity
Organization
Contact information
Practice address
136 SHERMAN AVE, SUITE # 308, NEW HAVEN, CT 06511-5238
(203) 777-2376
(203) 777-6916
Mailing address
136 SHERMAN AVE, SUITE # 308, NEW HAVEN, CT 06511-5238
(203) 777-2376
(203) 777-6916
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20049
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010020049CT01
BLUE SHIELD
CT
01
—
010033084CT01
BLUE SHIELD
CT
01
—
1704128
UNITED HEALTH CARE
CT
01
—
1704485
UNITED HEALTH CARE
CT
01
—
4266164
AETNA
CT
01
—
4534907
AETNA
CT
01
—
C007212
CHAMPUS
CT
01
—
NHS100
OXFORD
CT
01
—
NHS101
OXFORD
CT
01
—
OV3673
HELATHNET
CT
01
—
OV3674
HEALTHNET
CT
Enumeration date
01/05/2006
Last updated
08/22/2020
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