Individual
ELIZABETH K. NELLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
147 WESTBROOK RD, ESSEX, CT 06426-1512
(860) 767-8265
(860) 358-8653
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-4820
(860) 358-8661
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
044749
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174663884
—
CT
01
—
D400011095
MEDICARE
CT
Enumeration date
02/08/2007
Last updated
04/07/2017
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