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NPI 1700939063

NPI 1700939063 : ANESTHESIA ASSOCIATES OF NEW HAVEN PC : NEW HAVEN, CT

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General NPI Number Information
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    NPI Number           |    1700939063
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANESTHESIA ASSOCIATES OF NEW HAVEN PC 
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Dates
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    Enumeration Date     |    01/19/2007
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    1423 CHAPEL ST 
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    City                 |    NEW HAVEN
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    State                |    CT
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    Zip                  |    06511-4411
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    Country              |    US
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    Telephone            |    203-865-3852
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    Fax                  |    203-865-2983
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Provider Business Mailing Address
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    Address Line         |    1423 CHAPEL ST 
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    City                 |    NEW HAVEN
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    State                |    CT
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    Zip                  |    06511-4411
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    Country              |    US
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    Telephone            |    203-865-3852
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    Fax                  |    203-865-2983
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Authorized Official
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    Title or Position    |    PRACTICE MANAGER
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    Name                 |    MR. PAUL  MENDILLO 
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    Credential           |    
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    Telephone            |    203-865-3852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    
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    License Number State |    
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