Eduardo G Mari


Address: 1389 W Main St, Suite 223, Waterbury, CT 06708-3104
Phone: 2037552268

Eduardo G Mari (NPI# 1063458396, PAC ID# 2466404702) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.

Physician Overview

Nation Provider ID (NPI) 1063458396
PAC ID by PECOS 2466404702
Professional Enrollment ID I20050215000994
Full Name Eduardo G Mari
Address 1389 W Main St
Suite 223
Waterbury
CT 06708-3104
Phone Number 2037552268
Gender M
Credential MD
Graduation Year 1964
Primary Specialty GASTROENTEROLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
070016 SAINT MARYS HOSPITAL

Other Locations

Address Phone Organization
1389 W Main St, Suite 223, Waterbury, CT 06708-3104 2037552268

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 1389 W MAIN ST
SUITE 223
City WATERBURY
State CT
Zip 06708-3104

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Competitor

Search similar physicians

City WATERBURY
Zip Code 06708
Specialty GASTROENTEROLOGY
City + Specialty WATERBURY + GASTROENTEROLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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