MARLO DERLA

HARTFORD, CT
NPI1013628031
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CT  11175)
Enumeration Date2022-12-09
Last Update Date2022-12-09
Business Address
MARLO DERLA APRN
114 WOODLAND ST
HARTFORD, CT 06105-1208
Phone number: 860-714-0000
Mailing Address
MARLO DERLA APRN
63 MEADOW RD
LONGMEADOW, MA 01106-3026
Phone number: 413-364-7789
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