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Organization

MARTHA SEVERINO MD PLLC

Active
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Organization

MARTHA SEVERINO MD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARTHA Z. SEVERINO (OWNER)
(203) 240-4143
Entity
Organization

Contact information

Practice address
67 SAND PIT RD, SUITE #202, DANBURY, CT 06810-4032
(203) 778-5500
Mailing address
36 TAMARACK AVE, SUITE #322, DANBURY, CT 06811-4822

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
040024
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DE7965
MEDICARE RAILROAD
CT
Enumeration date
03/14/2008
Last updated
05/06/2008
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