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Individual
DR. CARLA BETH MARIENFELD
Active
Individual
DR. CARLA BETH MARIENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
047856
CT
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
A142922
CA
2084P0800X
Psychiatry Physician
047856
CT
2084P0800X
Psychiatry Physician
A142922
CA
2084P0802X
Addiction Psychiatry Physician
047856
CT
2084P0802X
Addiction Psychiatry Physician
Primary
A142922
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008003745
—
CT
01
—
D400073259
MEDICARE PROVIDER/SUPPLIER NUMBER
CT
Enumeration date
11/26/2007
Last updated
10/28/2022
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