Provider Demographics
NPI:1740434877
Name:YALE UNIVERSITY
Entity type:Organization
Organization Name:YALE UNIVERSITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE PROFESSOR
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:VORTMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-785-6843
Mailing Address - Street 1:310 CEDAR ST
Mailing Address - Street 2:416A LAUDER HALL
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-3218
Mailing Address - Country:US
Mailing Address - Phone:203-785-6843
Mailing Address - Fax:203-785-6899
Practice Address - Street 1:310 CEDAR ST
Practice Address - Street 2:416A LAUDER HALL
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3218
Practice Address - Country:US
Practice Address - Phone:203-785-6843
Practice Address - Fax:203-785-6899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-17
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT047068282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital