person
Dr. Marie R. Mammone, ND
General Practice Physician in Wethersfield, Connecticut
NPI 1164446175

Marie R. Mammone is a General Practice Physician based in Wethersfield, CT. Marie R. Mammone practices in Wethersfield, CT and has the professional credentials of ND. The NPI Number for Marie R. Mammone is 1164446175 and holds a License No. 000212 (Connecticut).

The current practice location address for Marie R. Mammone is 274 Silas Deane Hwy, Wethersfield, CT and can be reached out via phone at 860-529-1200 and via fax at 860-882-1935.

Location: 274 Silas Deane Hwy, Wethersfield, CT, 06109-1732
person
Provider Profile Details
NPI Number
1164446175
Provider Name
Marie R. Mammone
Credential
ND
Provider Entity Type
Individual
Gender
Female
Address
274 Silas Deane Hwy, Wethersfield, CT, 06109-1732
Phone Number
860-529-1200
Fax Number
860-882-1935
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
212000 01 CT CT CARE
110000212CT01 01 CT ANTHEM BC/BS
institution
Provider Business Practice Location Address Details
Address
274 Silas Deane Hwy
City
State
Zip
06109-1732
Phone Number
860-529-1200
Fax Number
860-882-1935
person
Provider Business Mailing Address Details
Address
274 Silas Deane Hwy
City
State
Zip
06109-1732
Phone Number
860-529-1200
Fax Number
860-882-1935
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
000212 (Connecticut)
Definition
Definition to come...
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