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General NPI Number Information
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NPI Number | 1972878122
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Entity Type | Individual
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Provider Name | MICHAEL CHIORAZZI MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 03/20/2012
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Last Update Date | 06/14/2019
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Provider Practice Location Address
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Address Line | 20 YORK ST SMILOW CANCER HOSPITAL
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City | NEW HAVEN
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State | CT
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Zip | 06510
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Country | US
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Telephone | 203-361-4534
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Fax | 203-785-2966
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Provider Business Mailing Address
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Address Line | 333 CEDAR ST PO BOX 208028, WWW211
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City | NEW HAVEN
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State | CT
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Zip | 06510-3206
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Country | US
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Telephone | 203-361-4534
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Fax | 203-785-2966
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | 61527
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 61527
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License Number State | CT
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