DR. JOHN WARREN EDELGLASS


Address: 2 Church St S, Suite 214, New Haven, CT 06519-1717
Phone: 2036244472

DR. JOHN WARREN EDELGLASS (NPI# 1851350524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851350524
Entity Type Individual
Full Name DR. JOHN WARREN EDELGLASS
Credential M.D.
Practice Address 2 Church St S
Suite 214
New Haven
CT 06519-1717
Practice Telephone 2036244472
Practice Fax Number 2036247762
Mailing Telephone 2036244472
Mailing Fax Number 2036247762
Enumeration Date 2006-03-21
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 023280 CT Allopathic & Osteopathic Physicians

Office Location

Street Address 2 CHURCH ST S
SUITE 214
City NEW HAVEN
State CT
Zip Code 06519-1717

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093710295 David Kusovitsky Dentist 2 Church St S, Ste 216, New Haven, CT 06519-1717 2005-06-15
1932519311 Caroline Anne Nelson Dermatology 2 Church St S, New Haven, CT 06519-1717 2014-05-06
1730439548 New Haven Prosthodontics, PC Dentist 2 Church St S, Suite 216, New Haven, CT 06519-1717 2012-09-19
1720336415 Hammers Healthcare Imaging, LLC Radiology 2 Church St S, Suite 110, New Haven, CT 06519-1717 2012-08-28
1629353016 Rajita Sinha Psychologist 2 Church St S, Suite 209, New Haven, CT 06519-1717 2011-10-17
1417250945 Interpace Diagnostics Lab, Inc. Clinical Medical Laboratory 2 Church St S, Suite B-05, New Haven, CT 06519-1717 2010-12-06
1205137783 Roslyn Chosak M.d.,l.l.c. Specialist 2 Church St S, Suite 501, New Haven, CT 06519-1717 2010-11-15
1235468711 Robert F Berke-schlessel Surgery 2 Church St S, Suite 504, New Haven, CT 06519-1717 2009-12-14
1770817991 Sachin N Desai Pediatrics 2 Church St S, Suite 300a, New Haven, CT 06519-1717 2009-09-21
1063654945 Anne M Lovejoy Physician Assistant 2 Church St S, Suite 515, New Haven, CT 06519-1717 2009-03-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255819348 Jordan Ficocelli Nurse Practitioner 800 Howard Ave # 2, New Haven, CT 06519 2018-08-01
1780123414 Claire Louise Hardin General Acute Care Hospital 95 Howard Ave, New Haven, CT 06519 2017-02-14
1467809137 Ana Laura Vives-rodriguez Student in an Organized Health Care Education/Training Program 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 2016-05-23
1346607785 Amanda Kayte Corcoran Advanced Practice Midwife 40 Prince St., Suite 207, New Haven, CT 06519 2016-01-15
1720491905 Sara Harcharik Perkins Dermatology 2 Church St S Ste 305, New Haven, CT 06519 2014-06-05
1194136713 Krishan Ratilal Jethwa Radiology 35 Park St Ste Ll507, New Haven, CT 06519 2014-05-16
1235549353 Brandon Michael Kitay Psychiatry & Neurology 184 Liberty St # Lv108, New Haven, CT 06519 2014-04-28
1649526617 Yale New Haven Hospital Student in an Organized Health Care Education/Training Program 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 2012-07-27
1669736765 Mayanka Tickoo Internal Medicine 300 Cedar St Fl 4, New Haven, CT 06519 2012-07-03
1730441627 Judith A Ross Physical Therapist 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 2012-06-15
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720491905 Sara Harcharik Perkins Dermatology 2 Church St S Ste 305, New Haven, CT 06519 2014-06-05
1336551589 Alicia Joan Little Dermatology 333 Cedar St, Dermatology, New Haven, CT 06520-8059 2014-05-22
1457627531 Ian Douglas Odell Dermatology 333 Cedar St Bldg Lmp, Room 5040, New Haven, CT 06510-3206 2012-03-22
1346425071 Oscar Rene Colegio Dermatology Yale-new Haven Hospital, 20 York Street, T-209, New Haven, CT 06510 2007-12-31
1639377690 Dermatology Associates P.C. Dermatology 1 Long Wharf Dr # 30, New Haven, CT 06511-5991 2007-07-10
1649218223 Lisa Marian Donofrio Dermatology 134 Park St, New Haven, CT 06511-5409 2006-06-03
1841258282 Christine J Ko Dermatology 15 York Street, Lmp 5031, New Haven, CT 06510 2006-05-03
1245744846 Tdg Connecticut Pllc Dermatology 134 Park St, New Haven, CT 06511-5409 2017-11-20
1497104822 Anna S Eisenstein Dermatology 15 York Street, Lmp 5040, New Haven, CT 06510-3220 2016-06-07
1083063549 Nan Guo Ring Dermatology 15 York Street, Ynhh Dept of Medicine, Lmp 1092, New Haven, CT 06520-8030 2016-06-06
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Competitor

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City NEW HAVEN
Zip Code 06519

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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