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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073574166 | NPPES |
Connecticut | MEDICAID | 001350511 |
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