Individual
EILEEN JILL RAMOS MUZZILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4402 E STATE BLVD, FORT WAYNE, IN 46815-6917
(260) 425-5600
(260) 425-5605
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01089028A
IN
207R00000X
Internal Medicine Physician
S8372
TX
Other
Enumeration date
05/17/2017
Last updated
08/29/2023
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