Individual
DR. MAHALIA S DESRUISSEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510
(718) 688-4242
Mailing address
PO BOX 208022, NEW HAVEN, CT 06520-8022
(203) 737-4057
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
229654
NY
207RI0200X
Infectious Disease Physician
Primary
60093
CT
Other
Enumeration date
08/06/2007
Last updated
06/18/2018
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