Individual
MARILYN P SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
030831
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001308312
—
CT
01
—
010030831CT04
ANTHEM BC/BS
CT
01
—
2999672
AETNA
CT
01
—
2V2847
HEALTH NET
CT
01
—
308310
CONNECTICARE
CT
01
—
36-4505937
NEHCA HMC/PPO
CT
01
—
4398415006
CIGNA
CT
01
—
507Y41
EMPIRE BC/BS
CT
01
—
ZP164
OXFORD HEALTH PLANS
CT
Enumeration date
08/11/2006
Last updated
01/25/2011
Update your record
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