Individual
MRS. ALICIA LONDONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 GEORGE ST., SUITE 901, NEW HAVEN, CT 06511
(203) 785-2095
Mailing address
300 GEORGE ST., SUITE 901, NEW HAVEN, CT 06511
(203) 785-2095
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
55448
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2014
Last updated
08/10/2018
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