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Contact Information

SEAN A LISSE, MD
333 CEDAR ST RM TE2
YNHH DEPARTMENT OF RADIOLOGY
NEW HAVEN, CT06510-3206
 Phone: 203-785-5253
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Neuroradiology

2085N0700X
 

Pediatric Radiology

2085P0229X
Indicates primary specialty

NPI Profile & details for SEAN A LISSE · (Male)

NPI # 1508285479
Status Active
Credentials MD
Entity Individual
Enumeration date 04/08/2014
Last updated 09/16/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 66770
  • CT Other 66770 CONNECTICUT MEDICAL LICENSE
Hospital affiliation(s)
  • BRIDGEPORT HOSPITAL - (Acute Care)
    267 GRANT STREET
    BRIDGEPORT, CT 06610
  • YALE-NEW HAVEN HOSPITAL - (Acute Care)
    20 YORK ST
    NEW HAVEN, CT 06504
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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