Individual
SIR CEDRIC ABRAHAM TERSO IBANEZ III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
326 WASHINGTON ST, NORWICH, CT 06360-2740
(860) 889-8331
Mailing address
26430 HONOR LN, SALINAS, CA 93908-1554
(516) 301-8511
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
047569
CT
208M00000X
Hospitalist Physician
47569
CT
Other
Enumeration date
06/22/2007
Last updated
07/19/2024
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