Individual
JING MARRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(860) 545-9000
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2147
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
68064
CT
2080P0206X
Pediatric Gastroenterology Physician
Primary
68064
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2018
Last updated
09/26/2024
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