Provider Demographics
NPI:1235425521
Name:PALISOUL, MARGUERITE (MD)
Entity Type:Individual
Prefix:
First Name:MARGUERITE
Middle Name:
Last Name:PALISOUL
Suffix:
Gender:F
Credentials:MD
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:85 SEYMOUR ST STE 705
Mailing Address - Street 2:HARTFORD HOSPITAL GYNECOLOGY ONCOLOGY
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-5501
Mailing Address - Country:US
Mailing Address - Phone:608-972-4341
Mailing Address - Fax:
Practice Address - Street 1:85 SEYMOUR ST STE 705
Practice Address - Street 2:HARTFORD HOSPITAL GYNECOLOGY ONCOLOGY
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-5501
Practice Address - Country:US
Practice Address - Phone:608-972-4341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-24
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT061144207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology