Individual
TRACI J MARQUIS-EYDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2979 MAIN ST, BRIDGEPORT, CT 06606-4284
(203) 382-2345
(860) 358-6748
Mailing address
2979 MAIN ST, BRIDGEPORT, CT 06606-4284
(203) 382-2345
(860) 358-6748
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
039190
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001391903
—
CT
Enumeration date
06/28/2006
Last updated
08/14/2023
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