MEDICARE: JOHN SCARPA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	001536	CT

General Provider Information

NPI Number	:	1538288014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN SCARPA

Provider Business Mailing Address
First Line	:	400 COLUMBUS AVE
Second Line	:
City	:	NEW HAVEN
State	:	CT
Zip	:	06519-1233
Country	:	US
Telephone Number	:	203-503-3250
Fax Number	:	203-503-3297

Provider Business Practice Location Address
First Line	:	226 DIXWELL AVE
Second Line	:
City	:	NEW HAVEN
State	:	CT
Zip	:	06511-3456
Country	:	US
Telephone Number	:	203-503-3270
Fax Number	:	203-503-3297

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	07/08/2007

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Directions to “ JOHN SCARPA ” Practice Location

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