Lissa Sugeng in New Haven - Cardiovascular Disease

Lissa Sugeng - NPI 1306909825

Lissa Sugeng is a Cardiovascular Disease in New Haven, Connecticut. Lissa Sugeng practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Lissa Sugeng is 1306909825. The last update date is 2010-10-25.

Lissa Sugeng's current location address is 135 College St Fl 3, New Haven, Connecticut. You can contact this provider via phone number 2037856460. The mailing address for Lissa Sugeng is 135 College St Fl 3, New Haven, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Lissa Sugeng
Address 135 College St Fl 3, New Haven, Connecticut
Phone Number 2037856460
Fax Number
Sole Proprietor N
Credentials MD, MPH

NPI Number Detail

NPI Number 1306909825
Provider Enumeration Date 2006-12-18
Last Updated Date 2010-10-25

Provider Mailing Address Detail

Address 135 College St Fl 3
City New Haven
State Connecticut (CT)
Post Code 65102483
Phone Number 2037856460
Fax Number

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No 36098586
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36098586 IL --

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FAQs about Lissa Sugeng

What is the unique 10-digit identification code assigned to Lissa Sugeng by the Centers for Medicare & Medicaid Services?

The Lissa Sugeng has been issued the NPI (National Provider Identifier) 1306909825, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Lissa Sugeng is physically located?

The Lissa Sugeng is physically situated at the following address: 135 College St Fl 3, New Haven, CT, 65102483.

What is Lissa Sugeng's area of expertise and its corresponding taxonomy classification?

The Lissa Sugeng's field of specialization is Cardiovascular Disease, and it falls under the taxonomy code 207Rc0000X, which categorizes healthcare providers based on their areas of practice.

On what date did Lissa Sugeng receive its 1306909825 assignment from the Centers for Medicare & Medicaid Services?

The Lissa Sugeng was assigned its 1306909825 on 2006-12-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Lissa Sugeng, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Lissa Sugeng, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-10-25.

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