Individual
MAGNA DIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 PARK ST, NEW HAVEN, CT 06504-8901
(203) 688-4242
Mailing address
100 E PENN SQ FL 9, PHILADELPHIA, PA 19107-3377
(267) 425-9234
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
62104
CT
208000000X
Pediatrics Physician
Primary
65104
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001761840
—
PA
Enumeration date
08/08/2006
Last updated
03/09/2026
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