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Individual

MAYRA JANET SANCHEZ DE LA CRUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
40 TEMPLE ST, SUITE 1A, NEW HAVEN, CT 06510-2715
(203) 785-4138
Mailing address
44 ORANGE ST APT 312, NEW HAVEN, CT 06510-3132
(305) 495-3099

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
045381
CT
207RG0100X
Gastroenterology Physician
Primary
045381
CT

Other

Enumeration date
11/26/2007
Last updated
06/14/2010
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