Individual
MR. JOSE GABRIEL CHAVEZ DUARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
333 CEDAR ST, NEW HAVEN, CT 06510-3206
(203) 785-2802
(203) 785-6664
Mailing address
20 YORK STREET, YNHH TOMPKINS 226, NEW HAVEN, CT 06510-3220
(203) 688-9503
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
78163
CT
390200000X
Student in an Organized Health Care Education/Training Program
61080
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2018
Last updated
08/09/2024
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