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Individual

DR. VIRIATO MANUEL FIALLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2 MEDICAL CENTER DR, SUITE # 404, SPRINGFIELD, MA 01107-1270
(413) 736-3163
(413) 733-0206
Mailing address
PO BOX 10417, HOLYOKE, MA 01041-2017
(413) 540-0150
(413) 540-0159

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
70766
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12337
HEALTH NEW ENGLAND
MA
01
1704472
UNITED HEALTH CARE
01
2033361
AETNA
05
3054659
MA
01
484559
CCARE
01
4848319-004
CIGNA
01
715050
TUFTS HEALTH INSURANCE
01
801591
HAVARD PILGRIM HEALTH CAR
01
J09106
BLUE CROSS BLUE SHIELD
Enumeration date
03/02/2006
Last updated
03/14/2008
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