Organization
IVETTE DIAZ, MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVETTE DIAZ MD (OWNER)
(203) 740-2593
Entity
Organization
Contact information
Practice address
304 FEDERAL RD, SUITE 201, BROOKFIELD, CT 06804-2418
(203) 740-2593
(203) 740-8250
Mailing address
304 FEDERAL RD, SUITE 201, BROOKFIELD, CT 06804-2418
(203) 740-2593
(203) 740-8250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
035354
CT
Other
Enumeration date
05/14/2009
Last updated
12/07/2010
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