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Individual

MICHELLE M. MAENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
40 TEMPLE ST STE 1B, NEW HAVEN, CT 06510-2715
(203) 737-1578
Mailing address
40 TEMPLE ST STE 1B, NEW HAVEN, CT 06510-2715

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
ME145134
FL
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
71805
CT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/23/2016
Last updated
08/09/2022
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