Individual
NEIL W TISHKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 CEDAR ST STE TE2, NEW HAVEN, CT 06510-3206
(203) 785-3067
(203) 200-5170
Mailing address
333 CEDAR ST STE TE2, NEW HAVEN, CT 06510-3206
(203) 785-3067
(203) 200-5170
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
37744
CT
2085R0202X
Diagnostic Radiology Physician
037744
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001377440
—
CT
Enumeration date
08/22/2005
Last updated
05/25/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us