Individual
MARTA FEDORKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
435 LEWIS AVE, MERIDEN, CT 06451-2101
(203) 694-8200
Mailing address
435 LEWIS AVE, MERIDEN, CT 06451-2101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13285
CT
Other
Enumeration date
07/12/2022
Last updated
08/19/2024
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