Provider Demographics
NPI:1003511684
Name:MAROTTA, PASCAL
Entity Type:Individual
Prefix:MR
First Name:PASCAL
Middle Name:
Last Name:MAROTTA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:97 SOUTH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06110-1964
Mailing Address - Country:US
Mailing Address - Phone:860-247-7724
Mailing Address - Fax:
Practice Address - Street 1:97 SOUTH ST STE 1010
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06110-1960
Practice Address - Country:US
Practice Address - Phone:860-247-7724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT486237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist