Smith, Marilyn P

Smith, Marilyn P is an individual health care provider with primary practice located at 401 Monroe Tpke Canterbury Pediatrics, Monroe CT 06468-2276. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Smith, Marilyn P can be contacted via phone (203) 452-1063.

Contact Information

Primary practice address
401 Monroe Tpke Canterbury Pediatrics Monroe CT 06468-2276
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 030831 Connecticut

Profile Details

NPI number 1598777542
LBN Legal business name Smith, Marilyn P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jan 25th, 2011 - about 15 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 1598777542 NPPES
Connecticut MEDICAID 001308312
Connecticut Other 010030831CT04
Connecticut Other 36-4505937
Connecticut Other 36-4505937
Connecticut Other 2V2847
Connecticut Other 36-4505937
Connecticut Other 507Y41
Connecticut Other 36-4505937
Connecticut Other 36-4505937
Connecticut Other 308310
Connecticut Other 36-4505937
Connecticut Other 36-4505937
Connecticut Other 36-4505937
Connecticut Other 2999672
Connecticut Other 36-4505937
Connecticut Other 36-4505937
Connecticut Other 36-4505937
Connecticut Other 36-4505937
Connecticut Other 4398415006
Connecticut Other ZP164

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