Kenneth F. Marici, Md, Pc
LBN: Kenneth F. Marici, Md, Pc
Kenneth F. Marici, Md, Pc is an health care organization with primary practice located at 11 Grove St Booth House, New Milford CT 06776-3626. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Kenneth F. Marici, Md, Pc can be contacted via phone (860) 354-5511, or through Marici, Kenneth F via phone (860) 354-5511.
Contact Information
Primary practice address
11 Grove St Booth House
New Milford CT 06776-3626
Phone: (860) 354-5511
Fax: (860) 350-3122
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036520 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 001512 | Connecticut |
Profile Details
| NPI number | 1821270513 |
|---|---|
| LBN Legal business name | Kenneth F. Marici, Md, Pc |
| DBA Doing business as | |
| Authorized official | Marici, Kenneth F Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 4th, 2007 |
| Last updated | Jan 24th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821270513 | NPPES |
| Connecticut | MEDICAID | 001365205 |
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