Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 034142 | CT |
NPI | 1073614921 |
---|---|
Provider Name | Dr. Aldo Jose Peixoto |
First Address | New Haven, CT 06519-1612 |
Second Address | New Haven, CT 06519-1612 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 29/04/2015 |