Individual
MARINA BLAGODATNY
Active
Individual
MARINA BLAGODATNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
041835
CT
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
041835
CT
Other
Enumeration date
06/09/2006
Last updated
10/18/2012
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