Individual
MARTIN B SONGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 GRANDVIEW AVE, WATERBURY, CT 06708-2505
(203) 757-7000
Mailing address
1729 LITCHFIELD RD, WATERTOWN, CT 06795-1018
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
003052
CT
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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