Individual
JOSE L GOMEZ VILLALOBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
789 HOWARD AVE, SECOND FLOOR, NEW HAVEN, CT 06519-1304
(203) 785-4198
(203) 737-5453
Mailing address
300 CEDAR ST, TAC-441 SOUTH P.O. BOX 208057, NEW HAVEN, CT 06519-1612
(203) 785-4198
(203) 737-5453
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
045422
CT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
045422
CT
207RP1001X
Pulmonary Disease Physician
Primary
045422
CT
Other
Enumeration date
05/23/2007
Last updated
11/15/2016
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