Individual
ADELAIDA MAGALLANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 PERRYRIDGE RD, GREENWICH, CT 06830-4608
(203) 863-3972
(203) 863-4647
Mailing address
20 YORK STREET, CB-329, NEW HAVEN, CT 06510-3220
(203) 688-1734
(475) 246-9106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A148011
CA
207Q00000X
Family Medicine Physician
MD60844924
WA
207R00000X
Internal Medicine Physician
Primary
79789
CT
208M00000X
Hospitalist Physician
319090
NY
Other
Enumeration date
06/22/2015
Last updated
01/28/2025
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