Individual
MARIE ELOISE EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 YORK ST, YNHH (CHILDREN'S) WEST PAVILION 2ND FLOOR, NEW HAVEN, CT 06504-8900
(203) 785-4081
(203) 785-6337
Mailing address
PO BOX 9805, 300 GEORGE ST 6TH FLOOR, NEW HAVEN, CT 06536-0805
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
032366
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001323667
—
CT
Enumeration date
12/01/2005
Last updated
07/01/2008
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