MARLO L DERLA

HARTFORD, CT
NPI1013628031
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CT  11175)
Enumeration Date2022-12-09
Last Update Date2025-06-17
Business Address
MARLO L DERLA APRN
31 SEYMOUR ST
HARTFORD, CT 06106-5503
Phone number: 860-972-0475
Mailing Address
MARLO L DERLA APRN
31 SEYMOUR ST
HARTFORD, CT 06106-5503
Phone number: 860-972-0475