IndividualActive
Stacey Bass, MD, PHD
NPI 1083877278 · Vascular & Interventional Radiology Physician · New Haven, CT
Provider details
- NPI number
- 1083877278
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, PHD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 052849 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
20 York St
New Haven, CT 06510-3220
Phone: (203) 298-8967
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 208042
New Haven, CT 06520-8042
Registry dates
- Enumerated
- 2008-07-08
- Last updated
- 2022-11-14
- Certified
- 2022-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.