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Individual

DR. MARY GUERRERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
99 WOODLAND ST, HARTFORD, CT 06105-1207
(860) 714-4212
(860) 714-8080
Mailing address
99 WOODLAND ST, HARTFORD, CT 06105-1207
(860) 714-4212
(860) 714-8080

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
032325
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001323253
CT
Enumeration date
07/04/2006
Last updated
07/08/2007
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