Individual
JOHN A ELEFTERIADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 HOWARD AVE, YALE PHYSICIANS BUILDING - 3RD FLOOR, NEW HAVEN, CT 06519-1369
(203) 785-2705
(203) 785-3826
Mailing address
300 GEORGE STREET, 6TH FLOOR PO BOX 9805, NEW HAVEN, CT 06536-0805
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
021683
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001216838
—
CT
Enumeration date
11/11/2005
Last updated
07/01/2008
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