Individual
MARIETTA KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
78 COUNTRY PL, SHELTON, CT 06484-3862
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9853
CT
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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