Individual
ANA GRACIELA AZUETA-JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
760 RIVER RD, SHELTON, CT 06484-5430
(203) 380-5282
Mailing address
760 RIVER RD, SHELTON, CT 06484-5430
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
79119
CT
Other
Enumeration date
04/02/2021
Last updated
10/28/2024
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