Marie-anne Denayer M.d. Llc | |
360 N Main St Ste 8 Southington CT 06489-2503 | |
(860) 276-3857 | |
(860) 276-8198 |
Full Name | Marie-anne Denayer M.d. Llc |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 360 N Main St Ste 8, Southington, Connecticut |
Authorized Official Name and Position | Marie-anne Denayer (OWNER) |
Authorized Official Contact | 8602763857 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Marie-anne Denayer M.d. Llc 360 N Main St Ste 8 Southington CT 06489-2503 Ph: (860) 276-3857 | Marie-anne Denayer M.d. Llc 360 N Main St Ste 8 Southington CT 06489-2503 Ph: (860) 276-3857 |
NPI Number | 1740510056 |
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Provider Enumeration Date | 01/08/2010 |
Last Update Date | 03/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740510056 | NPI | - | NPPES |
025012 | Other | CT | LICENSE |
130000464 | Other | CT | MEDICARE ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 025012 (Connecticut) | Primary |
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