Healthcare Provider Details

I. General information

NPI: 1114915162
Provider Name (Legal Business Name): STEVEN PFAU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2005
Last Update Date: 03/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 HOWARD AVE YALE PHYSICIANS' BUILDING; DEPT. OF CARDIOLOGY
NEW HAVEN CT
06519-1369
US

IV. Provider business mailing address

800 HOWARD AVE YALE PHYSICIANS' BUILDING; DEPT. OF CARDIOLOGY
NEW HAVEN CT
06519-1369
US

V. Phone/Fax

Practice location:
  • Phone: 203-785-4191
  • Fax: 203-737-6014
Mailing address:
  • Phone: 203-785-4191
  • Fax: 203-737-6014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number030760
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: