Individual
BRANDI LYNN IOVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
41 E MAIN ST, MYSTIC, CT 06355-2831
(860) 572-2988
Mailing address
41 E MAIN ST, MYSTIC, CT 06355-2831
(860) 572-2988
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
046497
CT
207R00000X
Internal Medicine Physician
Primary
046497
CT
Other
Enumeration date
05/08/2009
Last updated
02/16/2010
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