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Contact Information

MARIA E LITZENDORF, MD
360 TOLLAND TPKE STE 1A
MANCHESTER, CT06042-1759
 Phone: 860-533-6551
 Fax: 860-533-6552
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MARIA E LITZENDORF · (Female)

NPI Number 1598935058
Status Active
Credentials MD
Entity Individual
Enumeration date 03/11/2008
Last updated 06/13/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 69636
  • DC License # MD044826
  • MA License # 218744
Hospital affiliation(s)
  • MANCHESTER MEMORIAL HOSPITAL - (Acute Care)
    71 HAYNES ST
    MANCHESTER, CT 06040
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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