| Ivette Diaz, Md Llc | |
|
304 Federal Rd Suite 201 Brookfield CT 06804-2418 | |
| (203) 740-2593 | |
| (203) 740-8250 |
| Full Name | Ivette Diaz, Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 304 Federal Rd, Brookfield, Connecticut |
| Authorized Official Name and Position | Ivette Diaz (OWNER) |
| Authorized Official Contact | 2037402593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivette Diaz, Md Llc 304 Federal Rd Suite 201 Brookfield CT 06804-2418 Ph: (203) 740-2593 | Ivette Diaz, Md Llc 304 Federal Rd Suite 201 Brookfield CT 06804-2418 Ph: (203) 740-2593 |
| NPI Number | 1831323187 |
|---|---|
| Provider Enumeration Date | 05/14/2009 |
| Last Update Date | 12/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831323187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 035354 (Connecticut) | Primary |
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