Bizzarro, Matthew John

Bizzarro, Matthew John is an individual health care provider with primary practice located at 20 York St Yale-New Haven Children'S Hospital-Wp-4Th Floor, New Haven CT 06510-3220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Bizzarro, Matthew John can be contacted via phone (203) 688-2320.

Contact Information

Primary practice address
20 York St Yale-New Haven Children'S Hospital-Wp-4Th Floor New Haven CT 06510-3220
Fax: (203) 688-5426
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 040786 Connecticut

Profile Details

NPI number 1487637203
LBN Legal business name Bizzarro, Matthew John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated May 22nd, 2008 - about 16 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 1487637203 NPPES
Connecticut MEDICAID 001407867

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