Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 051221 | CT |
Y | 2080P0208X | Pediatric Infectious Diseases | 051221 | CT |
NPI | 1528382249 |
---|---|
Provider Name | Dr. Carlos Rafael Oliveira |
First Address | New Haven, CT 06504-8901 |
Second Address | Trumbull, CT 06611-6351 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2010 |
Last Update Date | 02/05/2016 |