Individual
ISABEL SOFIA BAZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
789 HOWARD AVE, NEW HAVEN, CT 06519
(203) 785-4189
(203) 737-5457
Mailing address
789 HOWARD AVE, PULMONARY CRITICAL CARE DEPT, NEW HAVEN, CT 06519-1304
(203) 785-4198
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
56925
CT
207RP1001X
Pulmonary Disease Physician
Primary
56925
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2013
Last updated
06/06/2020
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