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Individual

DR. JOSE MANUEL PANISELLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
20 YORK ST, 305 LCI, NEW HAVEN, CT 06510-3220
(203) 785-4651
Mailing address
15 YORK STREET,, LLCI 305 PEDIATRICS, YALE UNIVERSITY, NEW HAVEN, CT 06520-8064
(203) 785-4651
(203) 785-5833

Taxonomy

Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
050338
CT

Other

Enumeration date
01/06/2012
Last updated
04/05/2012
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