Healthcare Provider Details

I. General information

NPI: 1750546891
Provider Name (Legal Business Name): BARIATRIC ASSOCIATES OF NEW ENGLAND LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2008
Last Update Date: 02/22/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 ORCHARD ST SUITE 402
NEW HAVEN CT
06511-5363
US

IV. Provider business mailing address

200 ORCHARD ST SUITE 402
NEW HAVEN CT
06511-5363
US

V. Phone/Fax

Practice location:
  • Phone: 203-786-5007
  • Fax:
Mailing address:
  • Phone: 203-786-5007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number027231
License Number StateCT

VIII. Authorized Official

Name: DR. ROBERT JOSEPH TAFURI
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 203-786-5007