Individual
DR. JOSE MANUEL PAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
230 S FRONTAGE RD, NEW HAVEN, CT 06519-1124
(203) 848-5599
Mailing address
230 S FRONTAGE RD, NEW HAVEN, CT 06519-1124
(203) 848-5599
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
66365
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
06/08/2017
Last updated
05/14/2025
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