Individual
DR. CARISSA MONTERROSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06032-1956
(866) 679-4477
Mailing address
183 N MOUNTAIN RD, NEW BRITAIN, CT 06053-4325
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
063742
CT
207RP1001X
Pulmonary Disease Physician
63742
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2014
Last updated
08/04/2020
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