Healthcare Provider Details

I. General information

NPI: 1336153683
Provider Name (Legal Business Name): NEUROLOGICAL ASSOCIATES OF NEW HAVEN, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 ORCHARD STREET SUITE 216
NEW HAVEN CT
06511-4430
US

IV. Provider business mailing address

330 ORCHARD STREET SUITE 216
NEW HAVEN CT
06511-4430
US

V. Phone/Fax

Practice location:
  • Phone: 203-789-6047
  • Fax: 203-782-6311
Mailing address:
  • Phone: 203-789-6047
  • Fax: 203-782-6311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES CLEMENTE MCVEETY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 203-789-6047