Individual
SANDRA LORENA PATRUCCO REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2870
(203) 384-3000
Mailing address
267 GRANT ST, PODIUM 4 MEDICAL EDUCATION, BRIDGEPORT, CT 06610-2870
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
81380
CT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
81380
CT
207RP1001X
Pulmonary Disease Physician
81380
CT
Other
Enumeration date
03/27/2018
Last updated
08/11/2025
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