Marici, Kenneth

Marici, Kenneth is an individual health care provider with primary practice located at 11 Grove St Booth House, New Milford CT 06776-3626. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Marici, Kenneth can be contacted via phone (860) 354-5511.

Contact Information

Primary practice address
11 Grove St Booth House New Milford CT 06776-3626
Fax: (860) 210-2641
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036520 Connecticut

Profile Details

NPI number 1568414993
LBN Legal business name Marici, Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Feb 17th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568414993 NPPES
Connecticut MEDICAID 001365205

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