Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 55305 | CT |
Y | 208600000X | Surgeon | 55305 | CT |
N | 2082S0105X | Plastic Hand Surgeon | 55305 | CT |
NPI | 1972762581 |
---|---|
Provider Name | Michael Alperovich |
First Address | New Haven, CT 06520 |
Second Address | New Haven, CT 06510-3218 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2008 |
Last Update Date | 11/08/2016 |