| Maritza Deby Holder, MD | |
|
1260 Silas Deane Hwy, Wethersfield, CT 06109-4362 | |
| (860) 571-7253 | |
| (860) 258-3600 |
| Full Name | Maritza Deby Holder |
|---|---|
| Gender | Female |
| Speciality | Preventive Medicine - Occupational Medicine |
| Location | 1260 Silas Deane Hwy, Wethersfield, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649449364 | NPI | - | NPPES |
| NPI | Other | CT | 1649449364 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | 038369 (Connecticut) | Primary |
| Entity Name | Hartford Healthcare Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043561301 PECOS PAC ID: 1153573902 Enrollment ID: O20121201000007 |
| Entity Name | Hartford Healthcare Urgent Care Centers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093239683 PECOS PAC ID: 7618242777 Enrollment ID: O20170929001464 |
| Mailing Address | Practice Location Address |
|---|---|
| Maritza Deby Holder, MD 1025 Silas Deane Hwy, Wethersfield, CT 06109-4229 Ph: (860) 696-2400 | Maritza Deby Holder, MD 1260 Silas Deane Hwy, Wethersfield, CT 06109-4362 Ph: (860) 571-7253 |
Dr. Emily Pamela Stanford, DO Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 1290 Silas Deane Hwy, Wethersfield, CT 06109 Phone: 860-679-2000 | |
Dr. Victoria A Cassano, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1260 Silas Deane Hwy, Wethersfield, CT 06109 Phone: 860-529-1100 Fax: 860-721-9552 |