Individual
KENNETH F MARICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 OLD PARK LANE RD STE 1, NEW MILFORD, CT 06776-2561
(860) 354-5511
(860) 350-3122
Mailing address
2 OLD PARK LANE RD STE 1, NEW MILFORD, CT 06776-2561
(860) 354-5511
(860) 350-3122
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036520
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001365205
—
CT
Enumeration date
05/16/2006
Last updated
08/14/2024
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