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Individual

DIEGO B NUNEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 789-3627
(203) 789-4004
Mailing address
25 HEDGEFIELD CT, ORANGE, CT 06477-2226
(203) 795-3210

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
039728
CT
2085R0202X
Diagnostic Radiology Physician
039728
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001397282
CT
Enumeration date
08/22/2005
Last updated
05/02/2013
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