Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 000200 | CT |
NPI | 1083751549 |
---|---|
Provider Name | Dr. Mary Jane Markow |
First Address | New Britain, CT 06051-2211 |
Second Address | New Britain, CT 06051-2211 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 08/07/2007 |