Active NPIIndividual provider

Dr. Tyler Durazzo, MD

Dermatology in New Haven, Connecticut

NPI Number1457649063
Practice location
1450 Chapel St, New Haven, CT 06511-4405
Fax
—
Last updated
November 25, 2015

Tyler Durazzo is a Dermatology based in New Haven, CT. Tyler Durazzo practices in New Haven, CT and has the professional credentials of MD. The NPI Number for Tyler Durazzo is 1457649063 and holds a License No. 54442 (CT). The current practice location address for Tyler Durazzo is 1450 Chapel St, New Haven, CT 06511-4405 and can be reached out via phone at 203-789-3034.

Provider Profile Details

NPI Number
1457649063
Provider Name
Tyler Durazzo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1450 Chapel St, New Haven, CT 06511-4405
Phone Number
203-789-3034
Primary Taxonomy
Dermatology · 207N00000X
Sole Proprietor
No
Provider Enumeration Date
July 17, 2011
Last Update Date
November 25, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
1450 Chapel St
New Haven, CT 06511-4405
Zip
06511-4405
Phone Number
203-789-3034
New Haven, CT 06511Get directions →

Provider Business Mailing Address Details

Address
4 Corporate Drive
Suite 386
Shelton, CT 06484
City
Shelton
State
CT
Zip
06484

License Information

License Number (1)
54442
License State (1)
CT
Taxonomy (1)
Dermatology · 207N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Tyler Durazzo, MD?

The NPI number of Dr. Tyler Durazzo, MD is 1457649063. It was assigned on July 17, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Tyler Durazzo, MD?

Dr. Tyler Durazzo, MD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in CT under license number 54442.

Where does Dr. Tyler Durazzo, MD practice?

The practice location is 1450 Chapel St, New Haven, CT 06511-4405. The office can be reached at 203-789-3034 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457649063 directly on the NPPES registry website.

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