Individual
JORGE O MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 HOWARD AVE, NEW HAVEN, CT 06519
(203) 785-7411
Mailing address
800 HOWARD AVE, NEW HAVEN, CT 06519-1369
(203) 785-7411
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52746
CT
Other
Enumeration date
03/29/2011
Last updated
09/14/2018
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