Egan, Marie Eloise

Egan, Marie Eloise is an individual health care provider with primary practice located at 20 York St Ynhh (Children'S) West Pavilion 2Nd Floor, New Haven CT 06504-8900. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as her primary health care specialty. Egan, Marie Eloise can be contacted via phone (203) 785-4081.

Contact Information

Primary practice address
20 York St Ynhh (Children'S) West Pavilion 2Nd Floor New Haven CT 06504-8900
Phone: (203) 785-4081
Fax: (203) 785-6337
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 032366 Connecticut

Profile Details

NPI number 1104800374
LBN Legal business name Egan, Marie Eloise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Jul 1st, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104800374 NPPES
Connecticut MEDICAID 001323667

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