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Organization

MARIE-ANNE DENAYER M.D. LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIE-ANNE DENAYER M.D. (OWNER)
(860) 276-3857
Entity
Organization

Contact information

Practice address
360 N MAIN ST STE 8, SOUTHINGTON, CT 06489-2503
(860) 276-3857
(860) 276-8198
Mailing address
360 N MAIN ST STE 8, SOUTHINGTON, CT 06489-2503
(860) 276-3857
(860) 276-8198

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
025012
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
025012
LICENSE
CT
01
130000464
MEDICARE ID
CT
Enumeration date
01/08/2010
Last updated
03/07/2023
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