Provider Demographics
NPI:1780665067
Name:SINUSAS, ALBERT J (MD)
Entity type:Individual
Prefix:
First Name:ALBERT
Middle Name:J
Last Name:SINUSAS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:111 GOOSE LN
Mailing Address - Street 2:YALE-NEW HAVEN SHORELINE MEDICAL, SUITE 2400
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-5101
Mailing Address - Country:US
Mailing Address - Phone:203-458-2097
Mailing Address - Fax:203-458-1592
Practice Address - Street 1:111 GOOSE LN
Practice Address - Street 2:YALE-NEW HAVEN SHORELINE MEDICAL, SUITE 2400
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-5101
Practice Address - Country:US
Practice Address - Phone:203-458-2097
Practice Address - Fax:203-458-1592
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2011-04-05
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Provider Licenses
StateLicense IDTaxonomies
CT030554207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001305540Medicaid
CT001305540Medicaid
B07509Medicare UPIN