Healthcare Provider Details

I. General information

NPI: 1700939063
Provider Name (Legal Business Name): ANESTHESIA ASSOCIATES OF NEW HAVEN PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1423 CHAPEL ST
NEW HAVEN CT
06511-4411
US

IV. Provider business mailing address

1423 CHAPEL ST
NEW HAVEN CT
06511-4411
US

V. Phone/Fax

Practice location:
  • Phone: 203-865-3852
  • Fax: 203-865-2983
Mailing address:
  • Phone: 203-865-3852
  • Fax: 203-865-2983

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: MR. PAUL MENDILLO
Title or Position: PRACTICE MANAGER
Credential:
Phone: 203-865-3852