Individual
DR. DIEGO BELLAVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
1450 CHAPEL ST, HOSPITAL OF ST. RAPHAEL, NEW HAVEN, CT 06511-4405
(203) 789-6080
Mailing address
1450 CHAPEL ST, HOSPITAL OF ST. RAPHAEL, NEW HAVEN, CT 06511-4405
(203) 789-6080
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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