Ethan Marin is a Nephrology in New Haven, Connecticut. Ethan Marin practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Ethan Marin is 1740455864. The last update date is 2010-01-05.
Ethan Marin's current location address is 330 Cedar St, New Haven, Connecticut. You can contact this provider via phone number 2037854185. The mailing address for Ethan Marin is 330 Cedar St, New Haven, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ethan Marin |
|---|---|
| Address | 330 Cedar St, New Haven, Connecticut |
| Phone Number | 2037854185 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD PHD |
NPI Number Detail
| NPI Number | 1740455864 |
|---|---|
| Provider Enumeration Date | 2008-04-29 |
| Last Updated Date | 2010-01-05 |
Provider Mailing Address Detail
| Address | 330 Cedar St |
|---|---|
| City | New Haven |
| State | Connecticut (CT) |
| Post Code | 65103218 |
| Phone Number | 2037854185 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | 47176 |
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Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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What is the unique 10-digit identification code assigned to Ethan Marin by the Centers for Medicare & Medicaid Services?
The Ethan Marin has been issued the NPI (National Provider Identifier) 1740455864, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Ethan Marin is physically located?
The Ethan Marin is physically situated at the following address: 330 Cedar St, New Haven, CT, 65103218.
What is Ethan Marin's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ethan Marin's area of specialization is Nephrology, and the corresponding taxonomy code that categorizes this field of practice is 207Rn0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1740455864 to Ethan Marin?
The Centers for Medicare & Medicaid Services originally issued the 1740455864 to Ethan Marin on 2008-04-29.
As of what date were the Ethan Marin's details last updated?
The information pertaining to the Ethan Marin, including its address, specialty, and other details, was most recently updated on 2010-01-05.
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