Individual
JOSE LEONARDO VILLA URIBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 NORTHROP RD, WALLINGFORD, CT 06492
(203) 294-9153
Mailing address
900 NORTHROP RD, WALLINGFORD, CT 06492-1997
(203) 949-1534
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1.059957
CT
Other
Enumeration date
04/02/2015
Last updated
06/21/2018
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