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Fernando F. Illescas, MD
Vascular & Interventional Radiology Physician in Bloomfield, Connecticut
NPI 1417933961

Fernando F. Illescas is a Vascular & Interventional Radiology Physician based in Bloomfield, CT and is specialized in Vascular & Interventional Radiology. Fernando F. Illescas practices in Bloomfield, CT and has the professional credentials of MD. The NPI Number for Fernando F. Illescas is 1417933961 and holds a License No. 031371 (Connecticut).

The current practice location address for Fernando F. Illescas is 701 Cottage Grove Rd Ste E110, Bloomfield, CT and can be reached out via phone at 860-265-2529 and via fax at 860-463-9562.

Location: 701 Cottage Grove Rd Ste E110, Bloomfield, CT, 06002-3085
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Provider Profile Details
NPI Number
1417933961
Provider Name
Fernando F. Illescas
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
701 Cottage Grove Rd Ste E110, Bloomfield, CT, 06002-3085
Phone Number
860-265-2529
Fax Number
860-463-9562
Provider Enumeration Date
12/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001313717 05 CT
010031371CT01 01 CT ANTHEM BC/BS
1417933961 05 CT
A2516306 01 CT OXFORD
institution
Provider Business Practice Location Address Details
Address
701 Cottage Grove Rd Ste E110
City
State
Zip
06002-3085
Phone Number
860-265-2529
Fax Number
860-463-9562
person
Provider Business Mailing Address Details
Address
701 Cottage Grove Rd Ste E110
City
State
Zip
06002-3085
Phone Number
860-265-2529
Fax Number
860-463-9562
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
License No.
031371 (Connecticut)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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