1417962929 NPI number — LINDA LORIE MAERZ MD

Table of content: LINDA LORIE MAERZ MD (NPI 1417962929)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417962929 NPI number — LINDA LORIE MAERZ MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MAERZ
Provider First Name:
LINDA
Provider Middle Name:
LORIE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1417962929
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/24/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
330 CEDAR STREET
Provider Second Line Business Mailing Address:
BB 310 BOARDMAN BUILDING
Provider Business Mailing Address City Name:
NEW HAVEN
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06520
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-785-2572
Provider Business Mailing Address Fax Number:
203-785-3950

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
330 CEDAR STREET
Provider Second Line Business Practice Location Address:
BB 310 BOARDMAN BUILDING
Provider Business Practice Location Address City Name:
NEW HAVEN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06520
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-785-2572
Provider Business Practice Location Address Fax Number:
203-785-3950
Provider Enumeration Date:
07/31/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208600000X , with the licence number:  MD16328 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 071105 , issued by the state of ( OR ) . This identifiers is of the category "MEDICAID".