Marra, Robert E

Marra, Robert E is an individual health care provider with primary practice located at 1379 Enfield St , Enfield CT 06082-5524. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Marra, Robert E can be contacted via phone (860) 741-3041.

Contact Information

Primary practice address
1379 Enfield St Enfield CT 06082-5524
Phone: (860) 741-3041
Fax: (860) 741-5644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 000303 Connecticut

Profile Details

NPI number 1538139019
LBN Legal business name Marra, Robert E
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jan 11th, 2010 - about 14 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 1538139019 NPPES
Other CT0005083 TRICARE
Other 030000303CT01 TRICARE
Other 060309 TRICARE
Other HAS376 TRICARE
Other 0V0229 TRICARE
Other 0452032-001 TRICARE
Other 4212320 TRICARE
Other 480012879 TRICARE

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