Individual
ANDRES RODOLFO BRENES BASTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK STREET, DEPARTMENT OF ANESTHESIOLOGY, NEW HAVEN, CT 06510-3220
(203) 785-2802
Mailing address
20 YORK STREET, DEPARTMENT OF ANESTHESIOLOGY, NEW HAVEN, CT 06510-3220
(203) 785-2802
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
66750
CT
2084A2900X
Neurocritical Care Physician
66750
CT
Other
Enumeration date
06/13/2018
Last updated
01/15/2021
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