Provider Demographics
NPI:1629017959
Name:PINAR, AYDIN UZUN (MD)
Entity Type:Individual
Prefix:DR
First Name:AYDIN
Middle Name:UZUN
Last Name:PINAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:AYDIN
Other - Middle Name:
Other - Last Name:UZUNPINAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 1951
Mailing Address - Street 2:
Mailing Address - City:BRATTLEBORO
Mailing Address - State:VT
Mailing Address - Zip Code:05302-1951
Mailing Address - Country:US
Mailing Address - Phone:203-789-4044
Mailing Address - Fax:203-867-5287
Practice Address - Street 1:1450 CHAPEL ST
Practice Address - Street 2:MEDICINE/PULMONARY
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-4405
Practice Address - Country:US
Practice Address - Phone:203-789-4044
Practice Address - Fax:203-867-5287
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT042502207R00000X, 207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G72198Medicare UPIN
CT110010662Medicare PIN