Individual
JAVIER BALLESTER GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 GEORGE ST STE 901, YALE UNIVERSITY, NEW HAVEN, CT 06511-6662
(203) 932-5711
Mailing address
300 GEORGE ST STE 901, YALE UNIVERSITY, NEW HAVEN, CT 06511-6662
(203) 932-5711
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
10436565-1205
UT
2084P0800X
Psychiatry Physician
53433
CT
Other
Enumeration date
03/22/2012
Last updated
09/19/2017
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