Individual
DR. RAQUEL HURUTA DIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1305 POST RD, SUITE 103, FAIRFIELD, CT 06824-6016
(203) 955-1990
(203) 955-1991
Mailing address
1305 POST RD, SUITE 103, FAIRFIELD, CT 06824-6016
(203) 955-1990
(203) 955-1991
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
047845
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008004317
—
CT
05
—
1063600211
—
CT
Enumeration date
10/11/2007
Last updated
06/16/2014
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