Healthcare Provider Details

I. General information

NPI: 1780614834
Provider Name (Legal Business Name): SAFINAZ TULIN OZCAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 05/21/2024
Certification Date: 05/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 CEDAR ST
NEW HAVEN CT
06510
US

IV. Provider business mailing address

333 CEDAR ST
NEW HAVEN CT
06510-3206
US

V. Phone/Fax

Practice location:
  • Phone: 585-260-7909
  • Fax:
Mailing address:
  • Phone: 203-785-6610
  • Fax: 571-423-5698

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number38257
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: