Individual
MS. MARITZA I PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
39 PINE ST, NEW CANAAN, CT 06840-5409
(203) 972-7546
(203) 972-5937
Mailing address
39 PINE ST, NEW CANAAN, CT 06840-5409
(203) 972-7546
(203) 972-5937
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
027844
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001278449
—
CT
Enumeration date
05/15/2006
Last updated
09/29/2022
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