Individual
DR. JOSE A ESTELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
94 BELLEVUE AVE, BRISTOL, CT 06010-5816
(860) 582-8764
(860) 583-6748
Mailing address
94 BELLEVUE AVE, BRISTOL, CT 06010-5816
(860) 582-8764
(860) 583-6748
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15340
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001153402
—
CT
05
—
004235900
—
CT
Enumeration date
08/15/2006
Last updated
08/30/2012
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