Bianchi, Mark S

Bianchi, Mark S is an individual health care provider with primary practice located at 55 Lock Street , New Haven CT 06511. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Bianchi, Mark S can be contacted via phone (203) 375-0050.

Contact Information

Primary practice address
55 Lock Street New Haven CT 06511
Phone: (203) 375-0050
Fax: (203) 380-1616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 035051 Connecticut
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 035051 Connecticut

Profile Details

NPI number 1073574166
LBN Legal business name Bianchi, Mark S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Feb 28th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073574166 NPPES
Connecticut MEDICAID 001350511

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