Provider Demographics
NPI:1578769758
Name:YALE-NEW HAVEN HOSPITAL
Entity Type:Organization
Organization Name:YALE-NEW HAVEN HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT PROFESSOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:SWAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FRCPC
Authorized Official - Phone:203-785-6973
Mailing Address - Street 1:111 PARK ST
Mailing Address - Street 2:APT#15S
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-5412
Mailing Address - Country:US
Mailing Address - Phone:860-508-5709
Mailing Address - Fax:203-785-7611
Practice Address - Street 1:230 SOUTH FRONTAGE ROAD
Practice Address - Street 2:NIHB205
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06520-7900
Practice Address - Country:US
Practice Address - Phone:203-785-6973
Practice Address - Fax:203-785-7611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT040681273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit