Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 034532 | CT |
NPI | 1144392168 |
---|---|
Provider Name | Dr. Katherine Szabo Reese |
First Address | Fairfield, CT 06824-7119 |
Second Address | Newington, CT 06111-2631 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2006 |
Last Update Date | 05/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E63439 | (02) | CT |