KENNETH MARICI, MD PC
Nursing at Grove St, Northville, CT

License number
Connecticut 036520
Category
Osteopathic Medicine
Type
Internal Medicine
License number
Connecticut 001512
Category
Nursing
Type
Family
Owner
Name: DR. KENNETH F MARICI M.D.
Title: PRESIDENT
Phone: (860) 354-5511
Address
Address
11 Grove St, Northville, CT 06776
National Provider ID: 1821270513
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about KENNETH MARICI, MD PC at bizstanding.com

KENNETH MARICI, M.D., PC

11 Grv St, New Milford, CT 06776

Registration:
Jan 7, 2000
State ID:
0639992
Business type:
Stock
TREAS:
Kenneth Marici  President, Sec (TREAS), 11 Grv St, New Milford, CT 06776 (Mailing)
67 Ohfuse Rd S, Brookfield, CT 06804 (Physical)
Agent:
Kenneth Marici,557 Candlewood Lk Rd, Brookfield, CT 06804 (Mailing)

Nursing licenses in Connecticut










Other Doctors licenses in Connecticut