Provider Demographics
NPI:1104358183
Name:DEVLIN, AYSE (MD)
Entity Type:Individual
Prefix:
First Name:AYSE
Middle Name:
Last Name:DEVLIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AYSE
Other - Middle Name:
Other - Last Name:CELEBIOGLU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1 PARK ST # WP7
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06504-8901
Mailing Address - Country:US
Mailing Address - Phone:203-785-4081
Mailing Address - Fax:203-785-4081
Practice Address - Street 1:1 PARK ST # WP7
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06504-8901
Practice Address - Country:US
Practice Address - Phone:203-785-4081
Practice Address - Fax:203-785-4081
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-30
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT213187208000000X
CT72268208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics