Active NPIIndividual provider

Suguru Imaeda, MD

Dermatology in New Haven, Connecticut

NPI Number1760472237
Practice location
55 Lock Street, New Haven, CT 06520-8237
Fax
203-432-7289
Last updated
December 29, 2010

Suguru Imaeda is a Dermatology based in New Haven, CT. Suguru Imaeda practices in New Haven, CT and has the professional credentials of MD. The NPI Number for Suguru Imaeda is 1760472237 and holds a License No. 032326 (CT). The current practice location address for Suguru Imaeda is 55 Lock Street, New Haven, CT 06520-8237 and can be reached out via phone at 203-432-0076 and via fax at 203-432-7289.

Provider Profile Details

NPI Number
1760472237
Provider Name
Suguru Imaeda
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
55 Lock Street, New Haven, CT 06520-8237
Phone Number
203-432-0076
Fax Number
203-432-7289
Primary Taxonomy
Dermatology · 207N00000X
Sole Proprietor
No
Provider Enumeration Date
October 26, 2005
Last Update Date
December 29, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Lock Street
New Haven, CT 06520-8237
Zip
06520-8237
Phone Number
203-432-0076
Fax Number
203-432-7289
New Haven, CT 06520Get directions →

Provider Business Mailing Address Details

Address
Po Box 208237
55 Lock Street
New Haven, CT 06520-8237
City
New Haven
State
CT
Zip
06520-8237
Phone Number
203-432-0076
Fax Number
203-432-7289

License Information

License Number
032326
License State
CT
Taxonomy
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 Suguru Imaeda, MD?

The NPI number of Suguru Imaeda, MD is 1760472237. It was assigned on October 26, 2005 and is currently active in the NPPES registry.

What is the specialty of Suguru Imaeda, MD?

Suguru Imaeda, MD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in CT under license number 032326.

Where does Suguru Imaeda, MD practice?

The practice location is 55 Lock Street, New Haven, CT 06520-8237. The office can be reached at 203-432-0076 (phone) or 203-432-7289 (fax).

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 1760472237 directly on the NPPES registry website.

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