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Contact Information

STACEY A BASS, MD, PHD
20 YORK ST
NEW HAVEN, CT06510-3220
 Phone: 203-298-8967
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for STACEY A BASS · (Female)

NPI # 1083877278
Status Active
Credentials MD, PHD
Entity Individual
Enumeration date 07/08/2008
Last updated 11/14/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 052849
Hospital affiliation(s)
  • GRIFFIN HOSPITAL - (Acute Care)
    130 DIVISION ST
    DERBY, CT 06418
  • HARTFORD HOSPITAL - (Acute Care)
    80 SEYMOUR STREET
    HARTFORD, CT 06102
  • HOLYOKE MEDICAL CENTER - (Acute Care)
    575 BEECH STREET
    HOLYOKE, MA 01040
  • MANCHESTER MEMORIAL HOSPITAL - (Acute Care)
    71 HAYNES ST
    MANCHESTER, CT 06040
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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