Organization
DR. DECIO M. DE ESCOBAR
Active
Other names
Corebella Health
Organization subpart
No
Provider details
NPI number
Authorized official
DANELLE CONTOIS CPC (MEDICAL BILLER)
(203) 757-9336
Entity
Organization
Contact information
Practice address
171 GRANDVIEW AVE, SUITE 101, WATERBURY, CT 06708-2517
(203) 757-9336
(203) 757-9611
Mailing address
171 GRANDVIEW AVE, SUITE 101, WATERBURY, CT 06708-2517
(203) 757-9336
(203) 757-9611
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
000352
CT
207YX0602X
Otolaryngic Allergy Physician
Primary
12669
CT
363AM0700X
Medical Physician Assistant
1139
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001126697
—
CT
Enumeration date
06/30/2011
Last updated
06/30/2011
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