Individual
JUAN CARLOS L PEREZ LOZADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 YORK ST SPC 2-213, NEW HAVEN, CT 06510-3220
(203) 785-7026
(203) 737-1077
Mailing address
20 YORK ST SPC 2-213, NEW HAVEN, CT 06510-3220
(203) 785-7026
(203) 737-1077
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
051271
CT
2085R0204X
Vascular & Interventional Radiology Physician
051271
CT
Other
Enumeration date
09/25/2009
Last updated
05/31/2015
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