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Individual

ALEJANDRO CARVAJAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
320 POMFRET ST, PUTNAM, CT 06260-1836
(860) 928-6541
Mailing address
320 POMFRET ST, PUTNAM, CT 06260-1836
(860) 928-6541

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP03195
RI
207RH0003X
Hematology & Oncology Physician
Primary
65353
CT

Other

Enumeration date
07/02/2014
Last updated
11/04/2020
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