NPI 1366010662 · live from the CMS NPI Registry
Edison Javier Chiluisa
Radiology, Diagnostic Radiology in West Haven, CT. National Provider Identifier 1366010662, active.
NPI record
| NPI | 1366010662 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 950 Campbell Ave, West Haven, CT 06516 |
| Practice phone | 203-932-5711 |
| Mailing address | 47 Pine Tree Hill Rd, Shelton, CT 06484 |
| Enumerated | June 14, 2021 |
| Last updated | June 14, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 7401 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.