Individual
PHELAN ELIZABETH MARUCA-SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10 TALCOTT NOTHC, FARMINGTON, CT 06032-0001
(860) 679-6700
(860) 679-6736
Mailing address
10 TALCOTT NOTHC, FARMINGTON, CT 06032-0001
(860) 679-6700
(860) 679-6736
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
054356
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2013
Last updated
08/16/2018
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