Individual
LINETTE YADIRA ROSARIO TEJEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2979 MAIN ST, BRIDGEPORT, CT 06606-4284
(203) 382-2345
Mailing address
1276 FULTON AVE FL 4, BRONX, NY 10456-3402
(718) 901-8294
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
053538
CT
Other
Enumeration date
07/07/2011
Last updated
08/25/2015
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