Individual
DANIEL MIGUEL MARSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2870
(203) 384-3000
Mailing address
267 GRANT ST, BRIDGEPORT, CT 06610-2870
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
134480
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
10929
CT
367500000X
Certified Registered Nurse Anesthetist
NA
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
CT
Enumeration date
07/19/2021
Last updated
09/14/2022
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