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Individual

CARLOS FRAGOSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
950 CAMPBELL AVE, MAILCODE 151B, WEST HAVEN, CT 06516-2770
(203) 932-5711
(203) 937-4932
Mailing address
950 CAMPBELL AVE, MAILCODE 151B, WEST HAVEN, CT 06516-2770
(203) 932-5711
(203) 937-4932

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
026634
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1266345
CT
Enumeration date
11/09/2005
Last updated
12/28/2009
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