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Provider Information for 1265743041


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Dr. DANIEL EDUARDO MARRERO M.D.


Sex: Male

NPI: 1265743041
Last Updated: 2018-08-02
Certification Date:

Details

NameValue
NPI1265743041
Enumeration Date2010-06-28
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 263 FARMINGTON AVENUE
FARMINGTON, CT 06030-8033
United States

Phone: 860-679-2784 | Fax:860-679-3145
 
Primary Practice Address 263 FARMINGTON AVENUE
FARMINGTON, CT 06030-8033
United States

Phone: 860-679-2784 | Fax:860-679-3145
 
Secondary Practice Address(es)

41 MALL RD
BURLINGTON, MA 01805-0001
United States

Phone: 781-744-8170 | Fax:
 

41 MALL RD
BURLINGTON, MA 01805-0001
United States

Phone: 781-744-8170 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 2085R0202X - Radiology - Diagnostic RadiologyCT5506
No 2085R0202X - Radiology - Diagnostic RadiologyMA253495
Yes 2085R0202X - Radiology - Diagnostic RadiologyCT055006