| Ashwin Vaidyanathan, MD | |
|
5520 Park Ave, Trumbull, CT 06611-3463 | |
| (203) 261-7162 | |
| Not Available |
| Full Name | Ashwin Vaidyanathan |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 5520 Park Ave, Trumbull, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265964860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0000X | Pain Medicine - Pain Medicine | 70301 (Connecticut) | Secondary |
| 207L00000X | Anesthesiology | 70301 (Connecticut) | Primary |
| Entity Name | Yale University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashwin Vaidyanathan, MD 333 Cedar St, New Haven, CT 06510-3206 Ph: (203) 785-2802 | Ashwin Vaidyanathan, MD 5520 Park Ave, Trumbull, CT 06611-3463 Ph: (203) 261-7162 |
Lisa Ann Caramico, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 112 Quarry Rd, 3rd Floor, Trumbull, CT 06611 Phone: 203-374-1515 Fax: 203-374-4702 | |
Sandra Thornton Congdon, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 112 Quarry Rd, 3rd Floor, Trumbull, CT 06611 Phone: 203-374-1515 Fax: 203-374-4702 | |
Dr. Michael Patrick Pollock, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 112 Quarry Rd, Trumbull, CT 06611 Phone: 203-374-1515 |