Chua-Reyes, Jesse M.

Chua-Reyes, Jesse M. is an individual health care provider with primary practice located at 874 Howard Ave , New Haven CT 06519-1106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Chua-Reyes, Jesse M. can be contacted via phone (203) 688-8200.

Contact Information

Primary practice address
874 Howard Ave New Haven CT 06519-1106
Phone: (203) 688-8200
Fax: (203) 688-8204
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 035500 Connecticut

Profile Details

NPI number 1669473724
LBN Legal business name Chua-Reyes, Jesse M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Jan 9th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669473724 NPPES
Connecticut MEDICAID 001355008
Connecticut Other P00053271
Connecticut Other 061561581
Connecticut Other 0Q2710
Connecticut Other P2932518
Connecticut Other 061561581
Connecticut Other 3385240
Connecticut Other 355508
Connecticut Other 010035500CT01
Connecticut Other 061561581
Connecticut Other 758106

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