| Yale University | |
|
55 Lock St New Haven CT 06511-3603 | |
| (203) 432-0076 | |
| (203) 432-7289 |
| Full Name | Yale University |
|---|---|
| Speciality | Clinic/center |
| Location | 55 Lock St, New Haven, Connecticut |
| Authorized Official Name and Position | Constance Rollinson (MANAGER, CLAIMS AND BILLING) |
| Authorized Official Contact | 2034321003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yale University 55 Lock St Po Box 208237 New Haven CT 06511-3603 Ph: (203) 432-0076 | Yale University 55 Lock St New Haven CT 06511-3603 Ph: (203) 432-0076 |
| NPI Number | 1396902342 |
|---|---|
| Provider Enumeration Date | 05/19/2008 |
| Last Update Date | 12/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396902342 | NPI | - | NPPES |
| 1093862740 | Other | CT | INSTITUTIONAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0005 (Connecticut) | Primary |
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