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1376098095
TEODORO EDMUNDO JERVES SERRANO
NEW HAVEN, CT
NPI
1376098095
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207SG0202X Medical Genetics, Clinical Biochemical Genetics
(Licence: CT 71983)
Enumeration Date
2016-08-23
Last Update Date
2023-04-05
Business Address
TEODORO EDMUNDO JERVES SERRANO MD
1 LONG WHARF DR
NEW HAVEN, CT 06511-5991
Phone number: 877-925-3637
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Mailing Address
TEODORO EDMUNDO JERVES SERRANO MD
333 CEDAR ST # 313
NEW HAVEN, CT 06510-3206
Phone number: 203-737-2451
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