Individual
MARIETTA VAZQUEZ
Active
Individual
MARIETTA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
036203
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001362037
—
CT
Enumeration date
11/29/2005
Last updated
04/07/2011
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