Individual
GUALBERTO RUANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
67 JEFFERSON ST, HARTFORD, CT 06106-2504
(860) 545-4574
Mailing address
67 JEFFERSON ST, HARTFORD, CT 06106-2504
(860) 545-4574
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
CL-0644
CT
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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