Provider Demographics
NPI:1003034042
Name:EHRLICH, MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:EHRLICH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:40 TEMPLE STREET
Mailing Address - Street 2:YALE OPHTHALMOLOGY
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510
Mailing Address - Country:US
Mailing Address - Phone:203-395-7949
Mailing Address - Fax:203-785-7090
Practice Address - Street 1:40 TEMPLE STREET
Practice Address - Street 2:YALE OPHTHALMOLOGY
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510
Practice Address - Country:US
Practice Address - Phone:203-395-7949
Practice Address - Fax:203-785-7090
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT50666207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology