Unknown Individual – Physician Assistant, NPI 1730172701
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
65, Eddon Drive, East Haven, New Haven County, Connecticut, 06512, United States
EAST HAVEN, CT 065121049
Phone: (203) 804-5893
Type: Mailing
Yale New Haven Hospital Saint Raphael Campus, 1450, Chapel Street, Dwight Street Historic District, New Haven, New Haven County, Connecticut, 06511, United States
NEW HAVEN, CT 065114405
Phone: (203) 789-3124
Fax: (203) 789-4118
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06512)
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