Basic Information
Provider Information
NPI: 1467434472
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CANAPARI
FirstName: CRAIG
MiddleName: A
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 208064
Address2:  
City: NEW HAVEN
State: CT
PostalCode: 065208064
CountryCode: US
TelephoneNumber: 2037852480
FaxNumber: 2037856337
Practice Location
Address1: 1 PARK STREET
Address2: NEW HAVEN CHILDREN'S HOSPITAL
City: NEW HAVEN
State: CT
PostalCode: 06519
CountryCode: US
TelephoneNumber: 2037854081
FaxNumber: 2037377635
Other Information
ProviderEnumerationDate: 11/16/2005
LastUpdateDate: 06/26/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X22084MAN Allopathic & Osteopathic PhysiciansPediatrics 
2080P0214X220874MAY Allopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
2080S0012X52054CTN Allopathic & Osteopathic PhysiciansPediatricsSleep Medicine

No ID Information.


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