Individual
MARY LIZZIE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
PO BOX 208028, NEW HAVEN, CT 06520-8028
(203) 737-8866
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
73730
TN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
73730
TN
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
73730
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2020
Last updated
04/30/2025
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