NPI 1134381122

West Haven VA Podiatric Surgery

Organisation General Acute Care Hospital West Haven, CT

Practice location

Address: 950 Campbell Ave, West Haven, CT 06516
Phone: (203) 932-5711
Mailing address: 90 Gerrish Ave APT 62, East Haven, CT 06512

Authorised official

Name: Gerald Gorecki
Title: Director of Podiatric Surgery
Phone: (203) 932-5711

Registered specialties

General Acute Care Hospital Primary

Hospitals Taxonomy 282N00000X Licence 390200000X (CT)

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Registry record

NPI: 1134381122
Entity type: Organization
NPI issued: 30 Jun 2008
Record last updated: 30 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.