Provider Demographics
NPI:1023530250
Name:BRITO, EVELYN J (MD)
Entity type:Individual
Prefix:DR
First Name:EVELYN
Middle Name:J
Last Name:BRITO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:24 MILLRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SECAUCUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07094-4312
Mailing Address - Country:US
Mailing Address - Phone:201-779-7457
Mailing Address - Fax:248-551-2092
Practice Address - Street 1:3601 W 13 MILE RD
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-6712
Practice Address - Country:US
Practice Address - Phone:248-551-2047
Practice Address - Fax:248-551-2092
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-10
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301113321208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics