Individual
EDISON JAVIER CHILUISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
47 PINE TREE HILL RD, SHELTON, CT 06484-1866
(203) 892-8154
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
7401
CT
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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