Individual
MATTHEW JOHN BIZZARRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK ST, YALE-NEW HAVEN CHILDREN'S HOSPITAL-WP-4TH FLOOR, NEW HAVEN, CT 06510-3220
(203) 688-2320
(203) 688-5426
Mailing address
300 GEORGE ST, 6TH FLOOR PO BOX 9805, NEW HAVEN, CT 06536-0805
(203) 785-7998
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
040786
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001407867
—
CT
Enumeration date
11/25/2005
Last updated
05/22/2008
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