Dana Marie Teodoro
Physician Assistant, Medical in New Haven, CT. Individual provider (NPI-1).
NPI number1124336979
StatusActive
Last updated in NPPESNov 11, 2010
Details
- NPI
- 1124336979
- Entity type
- Individual (NPI-1)
- Name
- Dana Marie Teodoro
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 15, 2010
- Last updated
- Nov 11, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 2516 | CT | Yes |
Practice location
20 York St Cb 2041Northeast Medical Group
New Haven, CT 06510
Phone 203-688-4748 · Fax 203-688-4740
Mailing address
20 York St Cb 2041Northeast Medical Group
New Haven, CT 06510
Phone 203-688-4748 · Fax 203-688-4740
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