Mammone, Marie R.

Mammone, Marie R. is an sole proprietor health care provider with primary practice located at 274 Silas Deane Hwy , Wethersfield CT 06109-1732. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Mammone, Marie R. can be contacted via phone (860) 529-1200.

Contact Information

Primary practice address
274 Silas Deane Hwy Wethersfield CT 06109-1732
Phone: (860) 529-1200
Fax: (860) 882-1935
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 000212 Connecticut

Profile Details

NPI number 1164446175
LBN Legal business name Mammone, Marie R.
Credentials N.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Oct 7th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164446175 NPPES
Connecticut Other 212000 CT CARE
Connecticut Other 110000212CT01 CT CARE

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