Active NPIIndividual provider

Marisa Beals, MD

Obstetrics & Gynecology in Trumbull, Connecticut

NPI Number1356905319
Practice location
5520 Park Ave # Wp2-700, Trumbull, CT 06611-3463
Fax
203-396-0699
Last updated
September 29, 2024

Marisa Beals is an Obstetrics & Gynecology based in Trumbull, CT. Marisa Beals practices in Trumbull, CT and has the professional credentials of MD. The NPI Number for Marisa Beals is 1356905319 and holds a License No. 77516 (CT). The current practice location address for Marisa Beals is 5520 Park Ave # Wp2-700, Trumbull, CT 06611-3463 and can be reached out via phone at 203-374-1018 and via fax at 203-396-0699.

Provider Profile Details

NPI Number
1356905319
Provider Name
Marisa Beals
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5520 Park Ave # Wp2-700, Trumbull, CT 06611-3463
Phone Number
203-374-1018
Fax Number
203-396-0699
Primary Taxonomy
Obstetrics & Gynecology · 207V00000X
Sole Proprietor
No
Provider Enumeration Date
April 25, 2019
Last Update Date
September 29, 2024
Certification Date
September 29, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
5520 Park Ave # Wp2-700
Trumbull, CT 06611-3463
Zip
06611-3463
Phone Number
203-374-1018
Fax Number
203-396-0699
Trumbull, CT 06611Get directions →

Provider Business Mailing Address Details

Address
Po Box 22573
New York, NY 10087-2572
City
New York
State
NY
Zip
10087-2572
Phone Number
856-669-6050
Fax Number
856-651-0794

License Information

License Number (1)
77516
License State (1)
CT
Taxonomy (1)
Obstetrics & Gynecology · 207V00000X · Primary
License Number (2)
25MA11776900
License State (2)
NJ
Taxonomy (2)
Obstetrics & Gynecology · 207V00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marisa Beals, MD?

The NPI number of Marisa Beals, MD is 1356905319. It was assigned on April 25, 2019 and is currently active in the NPPES registry.

What is the specialty of Marisa Beals, MD?

Marisa Beals, MD is registered under the primary taxonomy Obstetrics & Gynecology (code 207V00000X), licensed in CT under license number 77516.

Where does Marisa Beals, MD practice?

The practice location is 5520 Park Ave # Wp2-700, Trumbull, CT 06611-3463. The office can be reached at 203-374-1018 (phone) or 203-396-0699 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356905319 directly on the NPPES registry website.

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