Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 7003 | CT |
NPI | 1134222987 |
---|---|
Provider Name | Dr. Marianne Murray Urbanski |
First Address | Cheshire, CT 06410-1827 |
Second Address | Meriden, CT 06450-6600 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2006 |
Last Update Date | 08/07/2007 |