Individual
ANDREA FERNANDA MATAYOSHI PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
34 PARK ST, NEW HAVEN, CT 06519-1109
(203) 390-9147
Mailing address
34 PARK ST, NEW HAVEN, CT 06519-1109
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
82287
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2023
Last updated
07/01/2025
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