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Individual

MRS. ELIZABETH MARCUCIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
755 CAMPBELL AVE, SUITE 2, WEST HAVEN, CT 06516-3715
(203) 889-2297
(203) 889-2249
Mailing address
755 CAMPBELL AVE, SUITE 2, WEST HAVEN, CT 06516-3715
(203) 889-2297
(203) 889-2249

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
004531
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004531
LICENSE
CT
Enumeration date
11/02/2010
Last updated
04/20/2016
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