Individual
MARIE L LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 YORK STREET, YALE NEW HAVEN HOSPITAL-CB 407, NEW HAVEN, CT 06519-1369
(203) 688-3475
(203) 688-8177
Mailing address
PO BOX 9805, 300 GEORGE ST, 6TH FLOOR, NEW HAVEN, CT 06536-0805
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
019372
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001193721
—
CT
Enumeration date
11/03/2005
Last updated
08/22/2008
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