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TEODORO EDMUNDO JERVES SERRANO MD NPI 1376098095


NPI Information

NPI: 1376098095
Provider Name: TEODORO EDMUNDO JERVES SERRANO, MD
Classification: Medical Genetics - 207SG0202X
Entity Type: Individual

Specialization: Clinical Biochemical Genetics

PECOS Registration: Yes

Address:
1 LONG WHARF DR
NEW HAVEN, CT
ZIP 06511
Phone: (877) 925-3637
Get Directions

Teodoro Edmundo Jerves Serrano, MD is a clinical biochemical genetics medical genetics in New Haven, CT with 11 years of experience. The provider is a clinical biochemical geneticist demonstrates competence in performing and interpreting biochemical analyses relevant to the diagnosis and management of human genetic diseases and is a consultant regarding laboratory diagnosis of a broad range of inherited disorders. Teodoro Edmundo Jerves Serrano, MD NPI is 1376098095. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 LONG WHARF DR
NEW HAVEN, CT
ZIP 06511-991
Phone: (877) 925-3637
Fax: (203) 688-4542

The NPI 1376098095 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/23/2016 and was last updated on 4/5/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207SG0202XMedical GeneticsClinical Biochemical Genetics71983CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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