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YALE UNIVERSITY

Physicians Radiology Body Imaging

Provider NPI: 1780606707

Organization Information:
Organization Name:  YALE UNIVERSITY
Authorized Official:  MARIANNE  DESS-SANTORO  CHIEF OPERATING OFFICER  203-785-2140

Practice Location:
20 YORK ST  NEW HAVEN, CT 06510-3220 US
Tel: 203-688-2433  Fax: 203-785-6414

Business Mailing Address:
300 GEORGE ST PO BOX 9805 NEW HAVEN, CT 06511-6624 US
Tel: 203-785-7998  Fax: 203-785-6414

NPI Information:
NPI: 1780606707
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X2085B0100XPhysicians
Radiology
Body Imaging
X2085N0700XPhysicians
Radiology
X2085N0904XPhysicians
Radiology
X2085P0229XPhysicians
Radiology
X2085R0001XPhysicians
Radiology
X2085R0202XPhysicians
Radiology
X2085R0203XPhysicians
Radiology
X2085R0204XPhysicians
Radiology
X2085U0001XPhysicians
Radiology

Other Provider Identifiers:

IssuerNumberStateType




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