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Individual
NATALIE V VILISSOVA
Active
Individual
NATALIE V VILISSOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
213773
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3767953
AETNA
—
01
—
467891
TUFTS HEALTH CARE
—
01
—
93039
FALLON
MA
01
—
AA28347
HARVARD PILGRIM HEALTHCAR
—
01
—
J28496
BCBS
MA
Enumeration date
06/16/2006
Last updated
07/13/2026
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