Individual
DR. ROGERIO CEZAR LILENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 200-2094
(203) 200-1517
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 200-2094
(203) 200-1517
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME71970
FL
207RH0000X
Hematology (Internal Medicine) Physician
ME71970
FL
207RX0202X
Medical Oncology Physician
Primary
ME71970
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272191100
—
FL
Enumeration date
10/07/2005
Last updated
02/08/2013
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