Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 039962 | CT |
NPI | 1003899311 |
---|---|
Provider Name | Marbelia C Cech |
First Address | East Hartford, CT 06108-3288 |
Second Address | East Hartford, CT 06108-3288 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2005 |
Last Update Date | 17/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001399626 | (05) | CT |
H60721 | (02) |