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Individual

CRISTOBAL G ALVARADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
455 LEWIS AVE, SUITE 203, MERIDEN, CT 06451-2121
(203) 634-1900
(203) 237-8441
Mailing address
455 LEWIS AVE, SUITE 203, MERIDEN, CT 06451-2121
(203) 634-1900
(203) 237-8441

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
018306
ME
208600000X
Surgery Physician
051650
CT
208600000X
Surgery Physician
C1-0007299
DE
208600000X
Surgery Physician
MD18306
ME
2086S0129X
Vascular Surgery Physician
018306
ME
2086S0129X
Vascular Surgery Physician
051650
CT
2086S0129X
Vascular Surgery Physician
MD18306
ME
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
018306
ME
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD18306
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008044322
CT
05
1000036126
DE
05
434425499
ME
01
P00174912
RAILROAD MEDICARE
DE
Enumeration date
03/01/2006
Last updated
01/06/2014
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