Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 1.051009 | CT |
NPI | 1164658233 |
---|---|
Provider Name | Dr. Marcia Cathleen Mecca |
First Address | New Haven, CT 06519-1106 |
Second Address | New Haven, CT 06519-1106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2009 |
Last Update Date | 24/01/2013 |