| Organization Name: | NEW HAVEN SURGICAL ASSOCIATES,PC |
| NPI Number: | 1356329742 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN PAUL AMODEO (PRESIDENT) |
| Mailing Address: | 136 Sherman Ave Suite # 308 New Haven |
| State: | CT US |
| Postal Code: | 065115238 |
| Phone Number: | 2037772376 |
| Fax Number: | 2037776916 |
| NPI Enumeration Date: | 01/05/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 20049 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |