Individual
DR. CARLOS I MENA-HURTADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 CEDAR ST, YALE PHYSICIANS BUILDING, NEW HAVEN, CT 06510-3206
(203) 785-6484
Mailing address
333 CEDAR ST, PO BOX 208017, NEW HAVEN, CT 06510-3206
(203) 785-6484
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
042842
CT
207RC0000X
Cardiovascular Disease Physician
Primary
042842
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001428425
—
CT
Enumeration date
02/15/2006
Last updated
07/27/2009
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