Individual
DR. SOFIA IVANA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
333 CEDAR ST # 3, YUSM DEPT OF ANESTHESIOLOGY, NEW HAVEN, CT 06510-3206
(203) 785-2802
Mailing address
333 CEDAR ST # 3, YUSM DEPT OF ANESTHESIOLOGY, NEW HAVEN, CT 06510-3206
(203) 785-2802
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
64885
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2014
Last updated
04/10/2020
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