Individual
DR. ERIC ISAAC ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
20 YORK STREET YNHH - DEPARTMENT OF INTERNAL MEDICINE, NEW HAVEN, CT 06510
(203) 688-4242
Mailing address
20 YORK STREET YNHH - TOMPKINS 226, NEW HAVEN, CT 06510-3220
(203) 688-4242
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
72859
CT
390200000X
Student in an Organized Health Care Education/Training Program
72859
CT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/14/2018
Last updated
11/10/2022
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