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1518067230
MARYBETH HOLAK
NEW HAVEN, CT
NPI
1518067230
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 6944)
Enumeration Date
2006-09-23
Last Update Date
2020-10-30
Business Address
Ms. MARYBETH HOLAK ARNP
428 COLUMBUS AVENUE DERMATOLOGY
NEW HAVEN, CT 06519-1233
Phone number: 203-503-3000
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Mailing Address
Ms. MARYBETH HOLAK ARNP
400 COLUMBUS AVENUE CREDENTIALING SPECIALIST
NEW HAVEN, CT 06519-1233
Phone number: 203-503-3000
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