Provider Demographics
NPI:1396325718
Name:ABURTO, NILA GRACE (MD)
Entity type:Individual
Prefix:DR
First Name:NILA
Middle Name:GRACE
Last Name:ABURTO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:292 LONG RIDGE RD STE 103
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-1627
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:292 LONG RIDGE RD STE 103
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-1627
Practice Address - Country:US
Practice Address - Phone:203-348-9455
Practice Address - Fax:203-348-9183
Is Sole Proprietor?:No
Enumeration Date:2021-04-09
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT77669207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine