Provider Demographics
NPI:1043292147
Name:MAUNG, ADRIAN ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:ANTHONY
Last Name:MAUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 CEDAR ST # BB310
Mailing Address - Street 2:YALE UNIVERSITY SCHOOL OF MEDICINE SECTION OF TRAUMA
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-3218
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:330 CEDAR ST # BB310
Practice Address - Street 2:YALE UNIVERSITY SCHOOL OF MEDICINE SECTION OF TRAUMA
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3218
Practice Address - Country:US
Practice Address - Phone:203-785-3494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA216850208600000X
CT0464272086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery