Individual
THEIJU SEBASTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036165120
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036165120
IL
Other
Enumeration date
05/25/2017
Last updated
09/20/2024
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