Most Relevant Information
Provider Data
| NPI Number: | 1003179243 |
| Provider Name: | GENEVIEVE MAQUILAN M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 2085R0001X |
| Specialty: | Radiology |
| License Number: | 272246 |
Most Important Dates
| Enumeration Date: | 06/22/2012 |
| Last Updated: | 11/29/2023 |
Provider Practice Location
35 PARK ST
NEW HAVEN
CT
065191110
Practice Location Phone/Fax
| Phone: | 2032002100 |
| Fax: |
Provider Mailing Location
3 RUNDELANE
BLOOMFIELD
CT
060021522
Provider Mailing Phone/Fax
| Phone: | 8569124321 |
| Fax: |