Individual
DR. SUSAN DENISE FITZGERALD ELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPHTM
Contact information
Practice address
310 CEDAR ST # B37K, NEW HAVEN, CT 06510-3218
(203) 785-3830
Mailing address
310 CEDAR ST # B37K, NEW HAVEN, CT 06510-3218
(203) 785-3830
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
204911
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
73089
CT
Other
Enumeration date
08/06/2020
Last updated
08/08/2025
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