Individual
DANIEL VILLAVECES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 CEDAR ST, FMB107, NEW HAVEN, CT 06510-3218
(203) 785-7890
Mailing address
111 PARK ST, 10A, NEW HAVEN, CT 06511-5412
(347) 327-3233
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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