Provider Demographics
NPI:1598944746
Name:NEW HAVEN RHEUMATOLOGY, P.C.
Entity Type:Organization
Organization Name:NEW HAVEN RHEUMATOLOGY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MATURO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-562-7679
Mailing Address - Street 1:47 CLAPBOARD HILL RD STE 2
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-2282
Mailing Address - Country:US
Mailing Address - Phone:203-789-2255
Mailing Address - Fax:203-495-1888
Practice Address - Street 1:47 CLAPBOARD HILL RD STE 2
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-2282
Practice Address - Country:US
Practice Address - Phone:203-789-2255
Practice Address - Fax:203-495-1888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-24
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty