Individual
MR. ALDO MAURICIO VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHS, PA-C, RT(R)(VI)
Contact information
Practice address
326 WASHINGTON ST, NORWICH, CT 06360
(860) 889-8331
Mailing address
326 WASHINGTON ST, NORWICH, CT 06360-2740
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
4316
CT
Other
Enumeration date
10/05/2018
Last updated
01/02/2019
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