Dr. Mariam Fofana, MD, PhD
Emergency Medicine in New Haven, CT. Individual provider (NPI-1).
NPI number1649540535
StatusActive
Last updated in NPPESJul 28, 2022
Details
- NPI
- 1649540535
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mariam Fofana
- Credential
- MD, PhD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 9, 2012
- Certification date
- Jul 28, 2022
- Last updated
- Jul 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 271675 | MA | Yes |
Practice location
333 Cedar StNew Haven, CT 06510-3206
Phone 203-785-7059
Mailing address
333 Cedar StNew Haven, CT 06510-3206
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