Individual
DR. MAUDRY LAURENT-ROLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D/PHD
Contact information
Practice address
136 MURPHY LN, KUNKLETOWN, PA 18058-8122
(646) 263-3025
Mailing address
PO BOX 208022, NEW HAVEN, CT 06520-8022
(203) 785-4140
(203) 785-3964
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
61464
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2013
Last updated
02/14/2020
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