Individual
DR. HENRY RANDALL MARESH
Active
Individual
DR. HENRY RANDALL MARESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
017150
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010017150CT01
ANTHEM
—
01
—
017150
CONNECTICARE
—
01
—
060986657001
CIGNA
—
01
—
OV4711
HEALTHNET
—
01
—
P601065
OXFORD
—
Enumeration date
07/12/2006
Last updated
07/08/2007
Update your record
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