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Organization

DR. RUSHIKA FERNANDOPULLE (IORA NEVADA), P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARC-DAVID MUNK M.D. (CHIEF MEDICAL OFFICER)
(617) 454-4672
Entity
Organization

Contact information

Practice address
701 E BRIDGER AVE, SUITE 150, LAS VEGAS, NV 89101-5554
(702) 479-1515
(702) 410-6678
Mailing address
101 TREMONT ST FL 6, BOSTON, MA 02108-5004
(617) 454-4671

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
10/17/2016
Last updated
12/14/2016
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