Individual
JUAN VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 CEDAR ST, LMP 2073, NEW HAVEN, CT 06510-3206
(203) 785-4640
Mailing address
333 CEDAR ST, LMP 2073, NEW HAVEN, CT 06510-3206
(203) 785-4640
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
052252
CT
Other
Enumeration date
05/11/2010
Last updated
05/16/2016
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