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Individual

DR. JOAO PAULO DE AZEVEDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1423 CHAPEL STREET, NEW HAVEN, CT 06511
(203) 789-3538
Mailing address
19 OLD QUARRY RD, WOODBRIDGE, CT 06525
(203) 393-3274
(203) 867-5461

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
017676
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1176767
CT
Enumeration date
08/11/2006
Last updated
07/08/2007
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