NPI 1366952863

Keith Joseph Pelletier, MBAMHSCCPLP

Practitioner Perfusionist New Haven, CT

Practice location

Address: 20 York St, New Haven, CT 06510-3220
Phone: (203) 982-7226
Mailing address: 63 Alisha Ln, Waterbury, CT 06705-5730

Registered specialties

Perfusionist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X Licence 83.000085 (CT)

Other Perfusionist providers in Connecticut →

Registry record

NPI: 1366952863
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Oct 2017
Record last updated: 10 Oct 2017

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.