Individual
DR. JOSE M MAHFOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.D.
Contact information
Practice address
867 WHALLEY AVE, NEW HAVEN, CT 06515-1728
(203) 387-1540
Mailing address
867 WHALLEY AVE, NEW HAVEN, CT 06515-1728
(203) 387-1540
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
000456
CT
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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