IndividualActive
Keith Pelletier, MBA, MHS, CCP, LP
NPI 1366952863 · Perfusionist · New Haven, CT
Provider details
- NPI number
- 1366952863
- Entity type
- Individual
- Primary specialty
- PerfusionistTechnologists, Technicians & Other Technical Service Providers
- Credential
- MBA, MHS, CCP, LP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 83.000085 (CT)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
20 York St
New Haven, CT 06510-3220
Phone: (203) 982-7226
Approximate (ZIP-level) locationGet directions
Mailing address
63 Alisha Ln
Waterbury, CT 06705-5730
Registry dates
- Enumerated
- 2017-10-10
- Last updated
- 2017-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.