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Individual

PEDRO JOSE GONZALEZ JIMENEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
789 HOWARD AVE, YNHH PEDIATRICS, NEW HAVEN, CT 06519-1304
(203) 688-5555
Mailing address
789 HOWARD AVE, YNHH PEDIATRICS, NEW HAVEN, CT 06519-1304
(203) 688-5555

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
85352
GA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
W1421
TX
390200000X
Student in an Organized Health Care Education/Training Program
804073536
PR
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/06/2015
Last updated
02/03/2026
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