Individual
SILVIA MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1013 FARMINGTON AVE, WEST HARTFORD, CT 06107-2181
(860) 236-9004
Mailing address
1013 FARMINGTON AVE, WEST HARTFORD, CT 06107-2181
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1485
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S008058060
—
CT
Enumeration date
04/17/2015
Last updated
04/17/2015
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