Individual
ROULA GABY RIZK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
130 HARTFORD RD, MANCHESTER, CT 06040-5921
(860) 643-5499
(860) 647-0437
Mailing address
130 HARTFORD RD, MANCHESTER, CT 06040-5921
(860) 643-5499
(860) 647-0437
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
043617
CT
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
043617
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265440986
NPI
CT
Enumeration date
08/04/2006
Last updated
03/09/2012
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