Provider Information for 1265743041
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Dr. DANIEL EDUARDO MARRERO M.D.
Sex: Male
NPI: 1265743041
Last Updated: 2018-08-02
Certification Date:
Certification Date:
Details
Name | Value | ||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
NPI | 1265743041 | ||||||||||||||||
Enumeration Date | 2010-06-28 | ||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||
Sole Proprietor | YES | ||||||||||||||||
Status | Active | ||||||||||||||||
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 41 MALL RD | ||||||||||||||||
Health Information Exchange |
| ||||||||||||||||
Other Identifiers |
| ||||||||||||||||
Taxonomy |
|