Individual
MARITZA MONTANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
263 FARMINGTON AVE, UCONN HEALTH, OUTPATIENT PAVILLION S7235, FARMINGTON, CT 06030-3955
(860) 679-3467
(860) 679-1460
Mailing address
263 FARMINGTON AVE, MAILCODE 1127, FARMINGTON, CT 06030-1127
(860) 679-3600
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
65127
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2016
Last updated
04/27/2020
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