Vazquez, Marietta
Vazquez, Marietta is an individual health care provider with primary practice located at 20 York St Ynhh Children'S Hospital, West Pavilion, 2Nd Fl, New Haven CT 06510-3220. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as her primary health care specialty. Vazquez, Marietta can be contacted via phone (203) 785-4081.Contact Information
Primary practice address
20 York St Ynhh Children'S Hospital, West Pavilion, 2Nd Fl
New Haven CT 06510-3220
Phone: (203) 785-4081
Fax: (203) 785-3833
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | 036203 | Connecticut |
Profile Details
| NPI number | 1134102692 |
|---|---|
| LBN Legal business name | Vazquez, Marietta |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2005 |
| Last updated | Apr 7th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134102692 | NPPES |
| Connecticut | MEDICAID | 001362037 |
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