Individual
DR. TERESA MICHELLE MARIANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1211 W MAIN ST, WATERBURY, CT 06708-3106
(203) 755-0163
Mailing address
1211 W MAIN ST, WATERBURY, CT 06708-3106
(203) 755-0163
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
046565
CT
Other
Enumeration date
04/08/2007
Last updated
01/25/2018
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