Individual
JESSE M. CHUA-REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
874 HOWARD AVE, NEW HAVEN, CT 06519-1106
(203) 688-8200
(203) 688-8204
Mailing address
874 HOWARD AVE, NEW HAVEN, CT 06519-1106
(203) 688-8200
(203) 688-8204
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
035500
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001355008
—
CT
01
—
010035500CT01
ANTHEM BC/BS
CT
01
—
061561581
HEALTH CT
CT
01
—
0Q2710
HEALTH NET
CT
01
—
3385240
AETNA
CT
01
—
355508
WELLCARE OF CT
CT
01
—
758106
CONNECTICARE
CT
01
—
P00053271
RAIL ROAD MEDICARE
CT
01
—
P2932518
OXFORD
CT
Enumeration date
08/10/2005
Last updated
01/09/2009
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