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NPI Code Detail

MEDICARE: GERALDINE FAHY MARROCCO APRN

MEDICARE:   GERALDINE FAHY MARROCCO  APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner00863CT

General Provider Information

NPI Number : 1083688683
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERALDINE FAHY MARROCCO APRN
Provider Business Mailing Address
First Line : 115 TECHNOLOGY DR
Second Line : SUITE B 106
City : TRUMBULL
State : CT
Zip : 06611-6337
Country : US
Telephone Number : 203-576-1737
Fax Number : 203-334-3841
Provider Business Practice Location Address
First Line : 115 TECHNOLOGY DR
Second Line : SUITE B 106
City : TRUMBULL
State : CT
Zip : 06611-6337
Country : US
Telephone Number : 203-576-1737
Fax Number : 203-334-3841
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2006
Last Update Date : 09/03/2014

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Directions to “ GERALDINE FAHY MARROCCO APRN” Practice Location

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