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Daivyd Alexander Palencia Pacheco, MD
Student in an Organized Health Care Education/Training Program in Waterbury, Connecticut
NPI 1740775394

Daivyd Alexander Palencia Pacheco is a Student in an Organized Health Care Education/Training Program based in San Antonio, CT. Daivyd Alexander Palencia Pacheco practices in Waterbury, CT and has the professional credentials of MD. The NPI Number for Daivyd Alexander Palencia Pacheco is 1740775394 and holds a License No. BP10065359 (Connecticut).

The current practice location address for Daivyd Alexander Palencia Pacheco is 56 Franklin St Ste 1, Waterbury, CT and can be reached out via phone at 203-709-6479.

Location: 56 Franklin St Ste 1, Waterbury, CT, 78229-3900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740775394
Provider Name
Daivyd Alexander Palencia Pacheco
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
56 Franklin St Ste 1, Waterbury, CT, 78229-3900
Phone Number
203-709-6479
Fax Number
Provider Enumeration Date
06/26/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
56 Franklin St Ste 1
City
Waterbury
State
Connecticut
Zip
06706-1281
Phone Number
203-709-6479
Fax Number
person
Provider Business Mailing Address Details
Address
56 Franklin St Ste 1
City
Waterbury
State
Connecticut
Zip
06706-1281
Phone Number
203-709-6479
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
BP10065359 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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