Individual
MRS. MARIA MARGUERITE MADONICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN MSN CRNA
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3174
Mailing address
7365 MAIN ST, SUITE 310, STRATFORD, CT 06614-1300
(800) 627-4470
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
075566
CT
367500000X
Certified Registered Nurse Anesthetist
507760
NY
Other
Enumeration date
11/14/2006
Last updated
06/16/2014
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