Provider Demographics
NPI:1912105966
Name:VARISELLA, EVA M (MD)
Entity type:Individual
Prefix:DR
First Name:EVA
Middle Name:M
Last Name:VARISELLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 HARTFORD RD
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06053-1547
Mailing Address - Country:US
Mailing Address - Phone:860-478-0113
Mailing Address - Fax:
Practice Address - Street 1:195 HARTFORD RD
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06053-1547
Practice Address - Country:US
Practice Address - Phone:860-478-0113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital