Provider Demographics
NPI:1194721084
Name:BRIGGS, MARIA GLUCH (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:GLUCH
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:85 SEYMOUR ST
Mailing Address - Street 2:SUITE 1019
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-5501
Mailing Address - Country:US
Mailing Address - Phone:860-246-4029
Mailing Address - Fax:860-240-7072
Practice Address - Street 1:85 SEYMOUR ST
Practice Address - Street 2:SUITE 1019
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-5501
Practice Address - Country:US
Practice Address - Phone:860-246-4029
Practice Address - Fax:860-240-7072
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT044752207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT044752OtherMEDICAL LICENSE