1982916698 NPI number — DR. RESHEF TAL M.D.

Table of content: DR. RESHEF TAL M.D. (NPI 1982916698)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982916698 NPI number — DR. RESHEF TAL M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TAL
Provider First Name:
RESHEF
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982916698
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/26/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
YALE SCHOOL OF MEDICINE, 333 CEDAR ST. PO BOX 208063
Provider Second Line Business Mailing Address:
REPRODUCTIVE ENDOCRINOLOGY & INFERTILITY, DEPT OB/GYN
Provider Business Mailing Address City Name:
NEW HAVEN
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06520-8063
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-764-5866
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
150 SARGENT DRIVE, 2ND FLOOR
Provider Second Line Business Practice Location Address:
YALE REPRODUCTIVE ENDOCRINOLOGY
Provider Business Practice Location Address City Name:
NEW HAVEN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06511
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-764-5866
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/10/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207VE0102X , with the licence number:  052789 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)