Healthcare Provider Details

I. General information

NPI: 1912131483
Provider Name (Legal Business Name): ELENA ARAGONA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2009
Last Update Date: 08/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PARK ST
NEW HAVEN CT
06504-8901
US

IV. Provider business mailing address

430 CONGRESS AVE
NEW HAVEN CT
06519-1313
US

V. Phone/Fax

Practice location:
  • Phone: 203-785-4651
  • Fax:
Mailing address:
  • Phone: 516-776-1523
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number63898
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number63898
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: