Individual
DR. MARIANNE SARAH KOENIG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
449 ROUTE 130, SANDWICH, MA 02563-2339
(508) 888-8430
(508) 888-6673
Mailing address
449 ROUTE 130, SANDWICH, MA 02563-2339
(508) 888-8430
(508) 888-6673
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
50001
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1200958
UNITED HEALTHCARE
MA
01
—
20140
HARVARD PILGRIM HEALTH CA
MA
01
—
28345
CHILDRENS MEDICAL SECURIT
MA
05
—
3000532
—
MA
01
—
4849274
CIGNA
MA
01
—
KOJO4544
BLUE CROSS BLUE SHIELD
MA
01
—
S011190
TRICARE
MA
Enumeration date
04/11/2006
Last updated
07/08/2007
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