Individual
IRIDA MOLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
140 GRANDVIEW AVE, WATERBURY, CT 06708-2505
(203) 574-4187
(203) 575-2153
Mailing address
793 EASTERN BYP, SUITE 201, RICHMOND, KY 40475-2422
(859) 624-6560
(859) 624-6569
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
48240
KY
207RI0200X
Infectious Disease Physician
48240
KY
207RI0200X
Infectious Disease Physician
Primary
56841
CT
Other
Enumeration date
07/02/2010
Last updated
04/06/2018
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