Most Relevant Information
Provider Data
| NPI Number: | 1003343310 |
| Provider Name: | EILEEN JILL RAMOS MUZZILLO MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | S8372 |
Most Important Dates
| Enumeration Date: | 05/17/2017 |
| Last Updated: | 08/29/2023 |
Provider Practice Location
4402 E STATE BLVD
FORT WAYNE
IN
468156917
Practice Location Phone/Fax
| Phone: | 2604255600 |
| Fax: | 2604255605 |
Provider Mailing Location
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE
IN
468451701
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Internist EMR