NPI 1083877278 · live from the CMS NPI Registry
Stacey A Bass, MD, PhD
Radiology, Vascular & Interventional Radiology in New Haven, CT. National Provider Identifier 1083877278, active.
NPI record
| NPI | 1083877278 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Vascular & Interventional Radiology 2085R0204X |
| Practice location | 20 York St, New Haven, CT 06510 |
| Practice phone | 203-298-8967 |
| Mailing address | Po Box 208042, New Haven, CT 06520 |
| Enumerated | July 8, 2008 |
| Last updated | November 14, 2022 |
| Sole proprietor | Yes |
| Other names | Stacey Trotter |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | 052849 (CT) |
| Radiology, Vascular & Interventional Radiology primary | 2085R0204X | 052849 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.