ISRAEL DURAN SANTIBANEZ

MIDDLETOWN, CT
NPI1073215224
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: CT  78697)
Enumeration Date2023-03-21
Last Update Date2024-06-24
Business Address
ISRAEL DURAN SANTIBANEZ MD
90 S MAIN ST STE 201
MIDDLETOWN, CT 06457-3649
Phone number: 860-358-6486
Mailing Address
ISRAEL DURAN SANTIBANEZ MD
90 S MAIN ST STE 201
MIDDLETOWN, CT 06457-3649
Phone number: 860-358-6486
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