Dr. Niurka Johannie Visconti, DO
Internal Medicine in Trumbull, CT. Individual provider (NPI-1).
NPI number1205280690
StatusActive
Last updated in NPPESJun 30, 2025
Details
- NPI
- 1205280690
- Entity type
- Individual (NPI-1)
- Name
- Dr. Niurka Johannie Visconti
- Credential
- DO
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 21, 2016
- Certification date
- Jun 30, 2025
- Last updated
- Jun 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 63608 | CT | Yes |
Other names
- Niurka Johannie Matos (Former Name)
Practice location
100 Corporate Dr Unit B104Trumbull, CT 06611-6346
Phone 203-769-9133 · Fax 860-321-4553
Mailing address
100 Corporate Dr Unit B104Trumbull, CT 06611-6346
Phone 203-769-9133 · Fax 860-321-4553
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