Active NPIIndividual provider

Marina Blagodatny, MD

Internal Medicine, Geriatric Medicine in Stratford, Connecticut

NPI Number1447291497
Practice location
95 Armory RD, Stratford, CT 06614-1753
Fax
—
Last updated
October 18, 2012

Marina Blagodatny is an Internal Medicine, Geriatric Medicine based in Stratford, CT. Marina Blagodatny practices in Stratford, CT and has the professional credentials of MD. The NPI Number for Marina Blagodatny is 1447291497 and holds a License No. 041835 (CT). The current practice location address for Marina Blagodatny is 95 Armory RD, Stratford, CT 06614-1753 and can be reached out via phone at 203-384-3388.

Provider Profile Details

NPI Number
1447291497
Provider Name
Marina Blagodatny
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
95 Armory RD, Stratford, CT 06614-1753
Phone Number
203-384-3388
Primary Taxonomy
Internal Medicine, Geriatric Medicine · 207RG0300X
Sole Proprietor
No
Provider Enumeration Date
June 9, 2006
Last Update Date
October 18, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
95 Armory RD
Stratford, CT 06614-1753
Zip
06614-1753
Phone Number
203-384-3388
Stratford, CT 06614Get directions →

Provider Business Mailing Address Details

Address
95 Armory RD
Stratford, CT 06614-1753
City
Stratford
State
CT
Zip
06614-1753
Phone Number
203-384-3388
Fax Number
203-384-4034

License Information

License Number (1)
041835
License State (1)
CT
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
041835
License State (2)
CT
Taxonomy (2)
Internal Medicine, Geriatric Medicine · 207RG0300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marina Blagodatny, MD?

The NPI number of Marina Blagodatny, MD is 1447291497. It was assigned on June 9, 2006 and is currently active in the NPPES registry.

What is the specialty of Marina Blagodatny, MD?

Marina Blagodatny, MD is registered under the primary taxonomy Internal Medicine, Geriatric Medicine (code 207RG0300X), licensed in CT under license number 041835.

Where does Marina Blagodatny, MD practice?

The practice location is 95 Armory RD, Stratford, CT 06614-1753. The office can be reached at 203-384-3388 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447291497 directly on the NPPES registry website.

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