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NPI Code Detail

MEDICARE: ALBERT J SINUSAS MD

MEDICARE: ALBERT J SINUSAS MD
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
1207RC0000XCardiovascular Disease Physician030554CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780665067
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALBERT J SINUSAS MD
Provider Business Mailing Address
First Line : 111 GOOSE LN
Second Line : YALE-NEW HAVEN SHORELINE MEDICAL, SUITE 2400
City : GUILFORD
State : CT
Zip : 06437-5101
Country : US
Telephone Number : 203-458-2097
Fax Number : 203-458-1592
Provider Business Practice Location Address
First Line : 111 GOOSE LN
Second Line : YALE-NEW HAVEN SHORELINE MEDICAL, SUITE 2400
City : GUILFORD
State : CT
Zip : 06437-5101
Country : US
Telephone Number : 203-458-2097
Fax Number : 203-458-1592
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2005
Last Update Date : 04/05/2011

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Directions to “ ALBERT J SINUSAS MD” Practice Location

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