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Individual

SUZETTE M VIOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
675 MAIN ST, MIDDLETOWN, CT 06457-2732
(860) 347-6971
(860) 343-7379
Mailing address
675 MAIN ST, MIDDLETOWN, CT 06457-2732
(860) 347-6971
(860) 343-7379

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
NP06380
OH
363LF0000X
Family Nurse Practitioner
Primary
15022
CT
363LF0000X
Family Nurse Practitioner
COA.06380-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0454119
OH
Enumeration date
05/09/2006
Last updated
07/18/2025
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