Provider Demographics
NPI:1588729750
Name:TESTANI, JEFFREY MOORE (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:MOORE
Last Name:TESTANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:333 CEDAR ST.
Mailing Address - Street 2:PO BOX 208017
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06520-8017
Mailing Address - Country:US
Mailing Address - Phone:203-785-7191
Mailing Address - Fax:203-785-2917
Practice Address - Street 1:333 CEDAR ST.
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06520-8017
Practice Address - Country:US
Practice Address - Phone:203-785-7191
Practice Address - Fax:203-785-2917
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT51256207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease