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Individual

ALI VAEZY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
20 YORK ST, YNHH WEST PAVILION, 2ND FL, NEW HAVEN, CT 06510-3220
(203) 785-4081
(203) 737-2228
Mailing address
20 YORK ST, YNHH WEST PAVILION, 2ND FL, NEW HAVEN, CT 06510-3220
(203) 785-4081
(203) 737-2228

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
040741
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001407411
CT
01
010040741CT02
ANTHEM BCBS CT
CT
01
040741
CONNECTICARE
CT
01
220133
WELLCARE
CT
01
23-33843
UHC
CT
01
2V1459
HEALTHNET/COMMERCIAL
CT
01
3408207/7603504
AETNA
CT
01
912708
USA
CT
01
P2978576
OXFORD
CT
01
PENDING
RR MEDICARE
CT
Enumeration date
12/28/2005
Last updated
10/29/2021
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