Individual
MARIANNE VAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
687 CAMPBELL AVE, WEST HAVEN, CT 06516-3774
(203) 932-7481
(203) 932-4051
Mailing address
687 CAMPBELL AVE, WEST HAVEN, CT 06516-3774
(203) 932-6481
(203) 932-4051
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
030088
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001300889
—
CT
01
—
008803
CONNECTICARE
CT
01
—
010030088CT07
ANTHEM BLUE SHIELD
CT
01
—
2V5205
HEALTHNET
CT
01
—
4126016
AETNA
CT
01
—
P00141373
RAILROAD MEDICARE
CT
01
—
P3362191
OXFORD
CT
Enumeration date
06/28/2005
Last updated
01/28/2013
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