TAMMI-MARIE K PHILLIP (Credential# 1490907) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2016. The license expiration date date is June 30, 2020. The license status is ACTIVE.
TAMMI-MARIE K PHILLIP is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.059009-RES. The credential type is resident physician. The effective date is July 1, 2016. The expiration date is June 30, 2020. The business address is 230 S Frontage Rd, New Haven, CT 06519. The current status is active.
| Licensee Name | TAMMI-MARIE K PHILLIP |
| Credential ID | 1490907 |
| Credential Number | 1.059009-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
230 S Frontage Rd New Haven CT 06519 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-07-01 |
| Effective Date | 2016-07-01 |
| Expiration Date | 2020-06-30 |
| Refresh Date | 2019-05-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1270765 | 1.054325 | Physician/Surgeon | 2015-06-26 | 2018-04-01 - 2019-03-31 | INACTIVE |
| 1173592 | CSP.0055355 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-07-12 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 230 S Frontage Rd |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Frances G Javier | 230 S Frontage Rd, New Haven, CT 06519-1124 | Resident Physician | 2018-06-12 ~ 2024-06-30 |
| Linda Beth Drozdowicz | 230 S Frontage Rd, New Haven, CT 06519-1124 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Hyun Hee Kim | 230 S Frontage Rd, New Haven, CT 06519-1124 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Kammarauche Asuzu | 230 S Frontage Rd, New Haven, CT 06519-1124 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Youngsun T Cho | 230 S Frontage Rd, New Haven, CT 06519-1124 | Resident Physician | 2017-07-11 ~ 2021-06-30 |
| Leisel S Martin-brown | 230 S Frontage Rd, New Haven, CT 06519-1124 | Resident Physician | 2017-07-03 ~ 2021-06-30 |
| Eunice Yuen | 230 S Frontage Rd, New Haven, CT 06519-1124 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Emily Hunt Olfson | 230 S Frontage Rd, New Haven, CT 06519-1124 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Kartik Pattabiraman | 230 S Frontage Rd, New Haven, CT 06519-1124 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Jose Manuel Paez | 230 S Frontage Rd, New Haven, CT 06519-1124 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinod H Srihari Md | 34 Park St Cmhc, New Haven, CT 06519 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica Brito Salinas | 111 Kimberly Ave., New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Walter Mathis | 34 Park St., New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly Pizza · Emmanuel Zorgias | 34 Kimberly Ave, New Haven, CT 06519 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Slawomir Piascik | 51 Longhini Lane, New Haven, CT 06519 | Asbestos Abatement Supervisor | 2020-08-01 ~ 2021-07-31 |
| Margaret T Boron | 428 Columbus Ave, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Laura Ann Dicola | Connecticut Mental Health Center Law & Psychiatry, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Parson | 689 Congress Ave, New Haven, CT 06519 | Medication Administration Certification | 2020-08-05 ~ 2022-08-04 |
| Alejandra Lopez Cervantes | 10 Hedge St, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-08-31 |
| Deicy Alexandra Urena Dagua | 267 Howard Ave, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-10-31 |
| Find all Licenses in zip 06519 | |||
| City | NEW HAVEN |
| Zip Code | 06519 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Phillip David Zhang | 240 E 86th St Apt 11e, New York, NY 10028-3036 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Leanne Marie Brown | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-09 ~ 2021-06-30 |
| Denise Marie Franko | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2017-07-01 ~ 2019-06-30 |
| Stephanie Marie Tatzel | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2016-12-08 ~ 2020-06-30 |
| Dana Marie Razzano | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Linda Marie Sapanski | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2012-05-25 ~ 2020-06-30 |
| Marie-josee Lynch | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2016-02-16 ~ 2019-06-30 |
| Marie Sullivan | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Vanessa Marie Baratta | 360 State St, New Haven, CT 06510-3601 | Resident Physician | 2020-06-22 ~ 2021-06-30 |
| Angelica Marie Garcia | 25 W Rock Ave, New Haven, CT 06515-2218 | Resident Physician | 2017-07-20 ~ 2021-06-30 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).