Mia H Marietta MD

NPI 1457422529 - Surgery - 208600000X

NPI Details
NPI 1457422529
Gender Female
Enumeration Date 11/12/2006
Last Updated 06/19/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
121 MEDICAL CENTER DRIVE
SUITE 2550
BRUNSWICK ME, 04011-2653, US
Phone (207) 373-1707
Fax (207) 373-1467
Business Location
121 MEDICAL CENTER DRIVE
SUITE 2550
BRUNSWICK ME, 04011-2653, US
Phone (207) 373-1707
Fax (207) 373-1467
Toxanomy
Taxonomy Code 208600000X
License State Maine
License Number EC-06-1101
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According to our database, Dr. Mia H Marietta MD NPI is 1457422529, taxonomy code is 208600000X and license number is EC-06-1101, license state is located at Maine. Mia H Marietta MD physically located at 121 Medical Center Drive, Brunswick ME, 04011-2653. NPI Number Mia H Marietta MD has the Individual type.

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1457422529 NPI number is provided on an as is basis without warranty of any kind. 1457422529 is maintained by the National Plan & Provider Enumeration System. The contents of Mia H Marietta MD are for informational purposes only.