Molina, Marco R

Molina, Marco R is an individual health care provider with primary practice located at 263 Farmington Ave Radiology, Farmington CT 06030-2803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Molina, Marco R can be contacted via phone (860) 679-2784.

Contact Information

Primary practice address
263 Farmington Ave Radiology Farmington CT 06030-2803
Phone: (860) 679-2784
Fax: (860) 679-4126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 048271 Connecticut

Profile Details

NPI number 1578761391
LBN Legal business name Molina, Marco R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2007
Last updated Sep 28th, 2022 - about 2 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 1578761391 NPPES
Connecticut MEDICAID 1578761391

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