Individual
MARISSA DEFREESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
29 HOSPITAL PLAZA, 6TH FLOOR, STAMFORD, CT 06902-2419
(203) 276-5959
(203) 276-5969
Mailing address
29 HOSPITAL PLAZA, 6TH FLOOR, STAMFORD, CT 06902-2419
(203) 276-5959
(203) 276-5969
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
047916
CT
2086S0102X
Surgical Critical Care Physician
Primary
047916
CT
Other
Enumeration date
01/26/2009
Last updated
02/07/2017
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