Individual
DR. IVETTE E. DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
304 FEDERAL RD, SUITE 201, BROOKFIELD, CT 06804-2418
(203) 740-2593
(203) 740-8250
Mailing address
304 FEDERAL RD, SUITE 201, BROOKFIELD, CT 06804-2418
(203) 740-2593
(203) 740-8250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
035354
CT
Other
Enumeration date
01/21/2006
Last updated
08/22/2007
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