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NPI 1487039525

NPI 1487039525 : NEW HAVEN RADIOLOGY ASSOCIATES, P.C. : HAMDEN, CT

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General NPI Number Information
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    NPI Number           |    1487039525
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEW HAVEN RADIOLOGY ASSOCIATES, P.C. 
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Dates
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    Enumeration Date     |    07/29/2015
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    Last Update Date     |    08/20/2019
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Provider Practice Location Address
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    Address Line         |    2200 WHITNEY AVE SUITE 120
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    City                 |    HAMDEN
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    State                |    CT
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    Zip                  |    06518-3691
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    Country              |    US
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    Telephone            |    203-288-3068
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    Fax                  |    203-288-3124
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Provider Business Mailing Address
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    Address Line         |    2558 WHITNEY AVE STE 103 
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    City                 |    HAMDEN
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    State                |    CT
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    Zip                  |    06518-3045
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    Country              |    US
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    Telephone            |    203-298-9085
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    Fax                  |    203-298-9106
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. ZENON  PROTOPAPAS 
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    Credential           |    M.D.
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    Telephone            |    203-298-9085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    
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    License Number State |    
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