Individual
ROBERT E MARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1379 ENFIELD ST, ENFIELD, CT 06082-5524
(860) 741-3041
(860) 741-5644
Mailing address
1379 ENFIELD ST, ENFIELD, CT 06082-5524
(860) 741-3041
(860) 741-5644
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000303
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030000303CT01
ANTHEM
—
01
—
0452032-001
CIGNA
—
01
—
060309
CONNECTICARE
—
01
—
0V0229
HEALTHNET
—
01
—
4212320
AETNA
—
01
—
480012879
MEDICARE RAILROAD
—
01
—
CT0005083
TRICARE
—
01
—
HAS376
OXFORD
—
Enumeration date
01/25/2006
Last updated
01/11/2010
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