JONATHAN JOSEPH BANIBENSU

NEW HAVEN, CT
NPI1194975805
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: DE  0010890)
Enumeration Date2008-09-30
Last Update Date2019-01-23
Business Address
JONATHAN JOSEPH BANIBENSU
1450 CHAPEL ST
NEW HAVEN, CT 06511-4405
Phone number: 203-789-3000
Mailing Address
JONATHAN JOSEPH BANIBENSU
90A HOWE ST
NEW HAVEN, CT 06511-4607
Phone number: 120-382-4807
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