Organization
YALE-NEW HAVEN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD D'AQUILLA (PRESIDENT)
(203) 688-2606
Entity
Organization
Contact information
Practice address
1 LONG WHARF DR, SUITE 403, NEW HAVEN, CT 06511-5991
(203) 688-3000
(203) 688-3050
Mailing address
20 YORK STREET - DENTAL, NEW HAVEN, CT 06510-3202
(203) 688-1288
(203) 688-4461
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
044
CT
1223P0221X
Pediatric Dentistry
Primary
044
CT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
044
CT
124Q00000X
Dental Hygienist
044
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008058656
—
CT
Enumeration date
04/03/2015
Last updated
04/18/2016
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