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Individual

MARISA BEALS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5520 PARK AVE # WP2-700, TRUMBULL, CT 06611-3463
(203) 374-1018
(203) 396-0699
Mailing address
PO BOX 22573, NEW YORK, NY 10087-2572
(856) 669-6050
(856) 651-0794

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
25MA11776900
NJ
207V00000X
Obstetrics & Gynecology Physician
Primary
77516
CT

Other

Enumeration date
04/25/2019
Last updated
09/29/2024
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