Individual
DR. JILLIAN LEE MAROUSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
333 CEDAR ST, TPM 3, NEW HAVEN, CT 06510-3206
(434) 825-8068
Mailing address
333 CEDAR ST, TPM 3, NEW HAVEN, CT 06510-3206
(434) 825-8068
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
045071
CT
207L00000X
Anesthesiology Physician
235319
NY
Other
Enumeration date
02/18/2008
Last updated
02/18/2008
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