DR. MARIE R. MAMMONE N.D. NPI 1164446175

NPI Information

NPI: 1164446175
Provider Name: DR. MARIE R. MAMMONE, N.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
274 SILAS DEANE HWY
WETHERSFIELD, CT
ZIP 06109
Phone: (860) 529-1200
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DR. Marie R. Mammone, N.D. is a general practice in Wethersfield, CT. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Marie R. Mammone, N.D. NPI is 1164446175. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

274 SILAS DEANE HWY
WETHERSFIELD, CT
ZIP 06109-732
Phone: (860) 529-1200
Fax: (860) 882-1935

The enumeration date for this NPI number is 7/26/2006 and was last updated on 10/7/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		000212	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	212000	OTHER	CONNECTICUT	CT CARE
2	110000212CT01	OTHER	CONNECTICUT	ANTHEM BC/BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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