Individual
ADEL BASSILY-MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 CEDAR ST, NEW HAVEN, CT 06510-3206
(203) 785-6610
Mailing address
333 CEDAR ST, NEW HAVEN, CT 06510-3206
(203) 785-6610
(203) 785-6414
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
78812
CT
2086S0102X
Surgical Critical Care Physician
221499
NY
2086S0102X
Surgical Critical Care Physician
78812
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02393373
—
CT
05
—
1326014119
—
CT
Enumeration date
02/23/2006
Last updated
08/29/2024
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