TRACI J MARQUIS-EYDMAN


Address: 1291 Boston Post Rd, Suite 105, Madison, CT 06443-3476
Phone: 2032451413

TRACI J MARQUIS-EYDMAN (NPI# 1578591780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578591780
Entity Type Individual
Full Name TRACI J MARQUIS-EYDMAN
Credential MD
Practice Address 1291 Boston Post Rd
Suite 105
Madison
CT 06443-3476
Mailing Address 28 Crescent St
Middletown
CT 06457-3654
Practice Telephone 2032451413
Practice Fax Number 8603588655
Mailing Telephone 8603584820
Mailing Fax Number 8603586748
Enumeration Date 2006-06-28
Last Update Date 2012-08-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 039190 CT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CT 001391903 05

Office Location

Street Address 1291 BOSTON POST RD
SUITE 105
City MADISON
State CT
Zip Code 06443-3476

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477551034 Steven Harris Schoenberger Specialist 1291 Boston Post Rd, Madison, CT 06443-3476 2005-07-08
1477918894 Meredith Carnelli Nurse Practitioner 1291 Boston Post Rd, Suite 105, Madison, CT 06443-3476 2015-12-30
1457619611 New England Sleep Therapy, LLC Clinic/Center 1291 Boston Post Rd, Suite 202, Madison, CT 06443-3476 2012-04-25
1033320114 Harry M Eudowe Dentist 1291 Boston Post Rd, Suite 103, Madison, CT 06443-3476 2007-05-24
1073726030 Marius Alexandru Marinescu Dentist 1291 Boston Post Rd, Suite 103, Madison, CT 06443-3476 2007-05-07
1164649075 Mhs Primary Care Nurse Practitioner 1291 Boston Post Rd, Suite 105, Madison, CT 06443-3476 2007-04-20
1740403369 Daniela Marinescu Dentist 1291 Boston Post Rd, Suite 103, Madison, CT 06443-3476 2007-04-11
1649357807 Kathryn M Mcdonnell Nurse Practitioner 1291 Boston Post Rd, Suite 105, Madison, CT 06443-3476 2006-11-01
1326138108 Lori C Stetz Family Medicine 1291 Boston Post Rd, Suite 105, Madison, CT 06443-3476 2006-10-13
1124123518 David B Parmelee Family Medicine 1291 Boston Post Rd, Suite 105, Madison, CT 06443-3476 2006-09-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194127506 Heather R. Clinton Social Worker 847 West Main Street, Suite 3, Branford, CT 06443 2014-09-17
1477973378 Katrina Louise Furey Psychiatry & Neurology 147 Durham Rd Ste 12a-ne, Madison, CT 06443 2014-04-18
1972920114 Elizabeth Laberee Internal Medicine 80 Devonshire Lane, Madison, CT 06443 2014-03-26
1588007314 Avery Grauer Psychiatry & Neurology 175 Copse Road, Madison, CT 06443 2013-04-11
1295077790 Gordon Seth Cohen Pathology 3 Silo Hill Road, Madison, CT 06443 2013-03-22
1073750493 Darlene F. Talavera Occupational Therapist 22 Overshore Drive, Madison, CT 06443 2009-01-08
1013182518 Susan Jean Isaac Social Worker 105 Winding Road, Unit 2, Madison, CT 06443 2008-04-25
1083893606 Kornelia Keszler, Md, PC Internal Medicine 1-b Meigswood Ave, Madison, CT 06443 2007-10-31
1811181126 Traci Marando Nurse Practitioner 20 Madrina Lane, Madison, CT 06443 2007-08-29
1790803419 Linda L. Young Social Worker 2 Samson Rock Drive, Unit 2g, Madison, CT 06443 2007-03-27
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275159998 Beam Healthcare, Sc Family Medicine 25 W Main St Fl 5, Madison, WI 53703-3399 2020-06-18
1598390932 Ashley Rae Woodcock Family Medicine 844 Slaughter Rd, Madison, AL 35758-8836 2020-03-05
1255974952 Integrative Health Center of Central Wisconsin LLC Family Medicine 3205 E Washington Ave Ste A, Madison, WI 53704-4332 2019-10-25
1538628961 Heidi Hollinger Family Medicine 145 Kelso Blvd, Madison, AL 35756-4285 2019-03-15
1902364383 Robert Thomas Pepper Family Medicine 1740 Lions Club Rd Ste 100, Madison, GA 30650-4762 2019-03-05
1497240485 Doctor-patient Medicine Inc Family Medicine 101 Westover Cir Ste B, Madison, AL 35758-4900 2018-06-22
1457863243 Debra Ann Mandarino Family Medicine 4223 Mandan Cres # 4223, Madison, WI 53711-3063 2017-11-02
1407367683 Roxanne L Brown Family Medicine 1210 Briarville Rd Bldg F, Madison, TN 37115-5136 2017-10-16
1871023242 Tulio Romulo Figarola Family Medicine 225 Mill Walk Ct, Madison, AL 35758-1565 2017-06-18
1649704586 Zaunklay Finnila Family Medicine 540 Hughes Rd Ste 4, Madison, AL 35758-8959 2017-04-18
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Competitor

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City MADISON
Zip Code 06443

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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