Individual
JUAN CARLOS CLEVES-BAYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
357 WHITNEY AVE STE 102, NEW HAVEN, CT 06511-2364
(203) 553-4679
Mailing address
357 WHITNEY AVE STE 102, NEW HAVEN, CT 06511-2364
(203) 553-4679
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
390200000X
CT
2084P0800X
Psychiatry Physician
46789
CT
2084P0805X
Geriatric Psychiatry Physician
Primary
46789
CT
Other
Enumeration date
11/28/2007
Last updated
09/06/2024
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