Individual
DR. RAISA IDELISS BALBUENA MERLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
33 CEDAR ST, YNHH LABORATORY MEDICINE, NEW HAVEN, CT 06519-2355
(203) 688-2446
Mailing address
33 CEDAR ST, YNHH LABORATORY MEDICINE, NEW HAVEN, CT 06519-2355
(203) 688-2446
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
61662
CT
Other
Enumeration date
06/27/2012
Last updated
05/21/2019
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