Individual
KASANDRA ERAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 PERRYRIDGE RD, GREENWICH, CT 06830-4608
(203) 863-3409
Mailing address
100 HEMLOCK RD UNIT 2-3, BRANFORD, CT 06405-2224
(347) 663-0050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
73343
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2020
Last updated
06/08/2023
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