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Contact Information

HARRY MA, M.D./PHD
2 SHAWS CV STE 203
NEW LONDON, CT06320-4975
 Phone: 203-375-2861
 Fax: 203-375-5615
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
 

Specialist

174400000X
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for HARRY MA · (Male)

NPI # 1174763957
Status Active
Credentials M.D./PHD
Entity Individual
Enumeration date 03/06/2009
Last updated 03/10/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 55618
  • MA License # 241896
  • NY License # 248565-1
  • RI License # MD15597
Hospital affiliation(s)
  • LAWRENCE & MEMORIAL HOSPITAL - (Acute Care)
    365 MONTAUK AVE
    NEW LONDON, CT 06320
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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