Individual
FELIPE JACINTO CARRASCO TENEZACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK STREET, UNHH TOMPKINS 226, NEW HAVEN, CT 06510-3220
(203) 688-9503
(203) 688-5599
Mailing address
20 YORK STREET, UNHH TOMPKINS 226, NEW HAVEN, CT 06510-3220
(203) 688-9503
(203) 688-5599
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
01/11/2023
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