Organization
CONNECTICUT NEUROSURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN HASENFELD MD (VICE PRESIDENT)
(203) 781-3400
Entity
Organization
Contact information
Practice address
100 BROADWAY, NORTH HAVEN, CT 06473
(203) 781-3400
(203) 781-3414
Mailing address
330 ORCHARD STREET, SUITE 316, NEW HAVEN, CT 06511-4430
(203) 781-3400
(203) 781-3414
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
034941
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295741825
NPI
CT
01
—
1356357933
NPI
CT
01
—
1417962093
NPI
CT
01
—
1477568053
NPI
CT
01
—
1548275092
NPI
CT
01
—
1649286220
NPI
CT
01
—
1659387256
NPI
CT
01
—
1710993381
NPI
CT
01
—
1831127265
NPI
CT
01
—
1952317521
NPI
CT
Enumeration date
05/04/2007
Last updated
08/22/2020
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