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JORGE ALBA DO

Neonatal-Perinatal Medicine >> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1255314761

Individual Registrant:
 JORGE  ALBA DO
Gender: M
Not Sole Proprietor

Location and contact information for practice:
71 HAYNES ST  MANCHESTER, CT 06040-4131 US
Tel: 860-646-1222  Fax: 860-647-6439

Contact information for business:
71 HAYNES ST  MANCHESTER, CT 06040-4131 US
Tel: 860-646-1222  Fax: 860-647-6439

Registration Information:
NPI: 1255314761
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2080N0001XAllopathic & Osteopathic Physicians
Pediatrics
Neonatal-Perinatal Medicine
CT043658

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
001436685CT05




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