Individual
MR. LEE J VENANCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1450 CHAPEL ST, DEPARTMENT OF SURGERY, NEW HAVEN, CT 06511-4405
(203) 789-3501
Mailing address
70 HOBSON AVE, HAMDEN, CT 06514-2515
(203) 288-3782
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
001763
CT
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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