Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 000283 | CT |
NPI | 1063511210 |
---|---|
Provider Name | Abraham Charles Yale |
First Address | Fairfield, CT 06824-5721 |
Second Address | Fairfield, CT 06824-5721 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
030000283CT01 | ANTHEM PIN (01) | CT |
510840 | AETNA PIN (01) | CT |
752951 | UNITED HEALTH PIN (01) | CT |
T22091 | (02) | CT |
ZS3200 | OXFORD PIN (01) | CT |