Individual
FELIPE LOPEZ GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1450 CHAPEL ST, PRIVATE 207, NEW HAVEN, CT 06511-4405
(203) 789-3034
Mailing address
747 RESERVOIR RD, CHESHIRE, CT 06410
(203) 812-0910
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
050789
CT
207RP1001X
Pulmonary Disease Physician
050789
CT
Other
Enumeration date
12/14/2007
Last updated
09/19/2014
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