| Oral And Maxillofacial Surgical Associates, Pc | |
|
1423 Chapel St Third Floor New Haven CT 06511-4411 | |
| (203) 787-6581 | |
| (203) 782-6389 |
| Full Name | Oral And Maxillofacial Surgical Associates, Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1423 Chapel St, New Haven, Connecticut |
| Authorized Official Name and Position | Robert Russell Sorrentino (PRESIDENT) |
| Authorized Official Contact | 2037876581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral And Maxillofacial Surgical Associates, Pc 1423 Chapel St Third Floor New Haven CT 06511-4411 Ph: (203) 787-6581 | Oral And Maxillofacial Surgical Associates, Pc 1423 Chapel St Third Floor New Haven CT 06511-4411 Ph: (203) 787-6581 |
| NPI Number | 1063700037 |
|---|---|
| Provider Enumeration Date | 07/12/2011 |
| Last Update Date | 07/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063700037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 5139 (Connecticut) | Primary |
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