Vazrick Mansourian MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

015589 Issued in CT

Legal business name

VAZRICK MANSOURIAN MD PC

Practice address

136 Sherman Ave
Suite 308
New Haven, CT 06511-5238

Phone

(203) 776-5819

Fax

(203) 772-7906

NPI assigned

Jul 8, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Vazrick Mansourian, M.D.

Title

President

Phone

(203) 776-5819

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1679702971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 SHERMAN AVE",
            "address_2": "SUITE 308",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115238",
            "telephone_number": "203-776-5819",
            "fax_number": "203-772-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 SHERMAN AVE",
            "address_2": "SUITE 308",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115238",
            "telephone_number": "203-776-5819",
            "fax_number": "203-772-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAZRICK MANSOURIAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-08",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "MANSOURIAN",
        "authorized_official_first_name": "VAZRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-776-5819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CT",
            "license": "015589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Renault Vaz, MD
• Frances J Vazquez, LPC
• Jennifer Vazquez
• Marietta Vazquez, MD
• Talia Vazquez
• Theodore Vecchitto
• Andrew Vedder, MSN, RN
• Kelly Ariel Veerasammy, MD
• Barbara Ann Veet-Gillis, APRN
• Ashley Nicole Vega

• Surgery Physician in New Haven, CT
• Providers in New Haven, CT by specialty
• Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.