Individual
DR. ILIR MARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 HOWARD AVE, NEW HAVEN, CT 06519
(203) 785-4127
Mailing address
15 VALLEY DR STE 200, GREENWICH, CT 06831-5205
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
55888
CT
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
55888
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
582726
MEDICARE
PA
Enumeration date
06/17/2009
Last updated
08/15/2018
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