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Contact Information

JORGE ALBA, DO
71 HAYNES ST
MANCHESTER, CT06040-4131
 Phone: 860-646-1222
 Fax: 860-647-6439
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JORGE ALBA · (Male)

NPI Number 1255314761
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 11/29/2005
Last updated 01/29/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 043658
  • CT Medicaid 001436685
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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