Individual
DR. REBECCA MARIN SCANDRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1320 W MAIN ST, WATERBURY, CT 06708-3119
(203) 709-7300
Mailing address
1320 W MAIN ST, WATERBURY, CT 06708-3119
(203) 709-7300
(203) 709-4501
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
041679
CT
207RI0011X
Interventional Cardiology Physician
Primary
041679
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0900735
CIGNA
CT
01
—
1200999
USA MANAGED CARE
CT
01
—
1972720522
ANTHEM BCBS
CT
05
—
1972720522
—
CT
01
—
7683929
AETNA
CT
Enumeration date
04/18/2007
Last updated
10/28/2021
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