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Individual

ANDREA DEL MAR RAMOS VICENTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
23248
PR
208D00000X
General Practice Physician
23248
PR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
82105
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6116229
MCS
Enumeration date
01/30/2019
Last updated
06/19/2025
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