Individual
MARIAM TOTONCHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 YORK ST, YALE-NEW HAVEN HOSPITAL, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
333 CEDAR STREET LCI 501, YALE SCHOOL OF MEDICINE, DEPARTMENT OF DERMATOLOGY, NEW HAVEN, CT 06520-8059
(203) 785-4092
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
56347
CT
207N00000X
Dermatology Physician
AY2629155
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2013
Last updated
04/30/2017
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