Individual
SOLANUS DE LA SERNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R-12203
IA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CT
Other
Enumeration date
06/13/2021
Last updated
05/31/2024
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