Individual
DR. RACHELLE VALDEZ DYQUIANGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 HERALD SQ, NEW BRITAIN, CT 06051
(860) 827-1343
Mailing address
1 HERALD SQ, NEW BRITAIN, CT 06051-5009
(860) 827-1343
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
50408
CT
207RN0300X
Nephrology Physician
Primary
050408
CT
208M00000X
Hospitalist Physician
50408
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008040081
—
CT
Enumeration date
08/15/2007
Last updated
09/25/2018
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