Scandrett, Rebecca Marin

Scandrett, Rebecca Marin is an individual health care provider with primary practice located at 1320 W Main St , Waterbury CT 06708-3119. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is her primary health care specialty. Scandrett, Rebecca Marin can be contacted via phone (203) 709-7300.

Contact Information

Primary practice address
1320 W Main St Waterbury CT 06708-3119
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 041679 Connecticut
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 041679 Connecticut

Profile Details

NPI number 1972720522
LBN Legal business name Scandrett, Rebecca Marin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2007
Last updated Oct 28th, 2021 - about 3 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 1972720522 NPPES
Connecticut Other 0900735 CIGNA
Connecticut Other 1200999 CIGNA
Connecticut MEDICAID 1972720522 CIGNA
Connecticut Other 7683929 CIGNA
Connecticut Other 1972720522 CIGNA

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