Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 031924 | CT |
NPI | 1043319064 |
---|---|
Provider Name | Maria Everhart-Caye |
First Address | Rocky Hill, CT 06067-0587 |
Second Address | Hartford, CT 06106-5501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 21/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00131924401 | (05) | CT |
F75504 | (02) |