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Individual

DR. RICARDO JAVIER PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
80 S MAIN ST, MIDDLETOWN, CT 06457-3648
(860) 358-6446
Mailing address
80 S MAIN ST, MIDDLETOWN, CT 06457-3648
(860) 358-6446

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
56188
CT
207RP1001X
Pulmonary Disease Physician
Primary
56188
CT

Other

Enumeration date
05/09/2013
Last updated
12/17/2019
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