Individual
JAIRO MAURICIO MONTEZUMA- RUSCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-3245
(860) 679-0121
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 679-3692
(860) 679-7077
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
52396
CT
Other
Enumeration date
09/01/2009
Last updated
07/11/2022
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