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Organization

NEW HAVEN RADIOLOGY ASSOCIATES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK A PINTO JR. (CONTROLLER)
(203) 298-9091
Entity
Organization

Contact information

Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 789-3124
(203) 789-4118
Mailing address
11 LUNAR DR, WOODBRIDGE, CT 06525-2320
(203) 298-9091
(203) 298-9106

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
261QR0206X
Mammography Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004000667
CT
Enumeration date
08/25/2005
Last updated
01/24/2011
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