Marianne Beatrice
Individual provider Active NPI Obstetrics & Gynecology Physician · New Haven, CT
NPI 1124368998 · NPPES record last updated Feb 15, 2013
Key facts
- NPI
- 1124368998
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 009810 (CT)
- Practice address
- 809 Forest Rd
New Haven, CT 06515-2725 - Phone
- (203) 397-1375
- NPI assigned
- Feb 15, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009810 | CT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 009810 | CT | Yes |
Addresses
Primary practice location
809 Forest Rd
New Haven, CT 06515-2725
Mailing address
809 Forest Rd
New Haven, CT 06515-2725
Phone (203) 397-1375
Other providers in New Haven, CT
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- Nicole Beall
- Colin Daniel Beals-Reid
- Dorothy Beaman
- Michael Harry Beasley
- Eric Robert Beaudoin
- Mariangelie Beaudry
- Matthew Thomas Beaulac
- Christie Lee Beaulieu
- Ivette Becerra Ortiz
All providers in New Haven, CT · Obstetrics & Gynecology Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.