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Contact Information

JAVIER BALLESTER GONZALEZ, MD
300 GEORGE ST STE 901
YALE UNIVERSITY
NEW HAVEN, CT06511-6662
 Phone: 203-932-5711
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for JAVIER BALLESTER GONZALEZ · (Male)

NPI # 1437425584
Status Active
Credentials MD
Entity Individual
Enumeration date 03/22/2012
Last updated 09/19/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 53433
  • UT License # 10436565-1205
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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