Provider Demographics
NPI:1346495751
Name:NOFIELE, ELODIE LACMAGO (MD)
Entity Type:Individual
Prefix:DR
First Name:ELODIE
Middle Name:LACMAGO
Last Name:NOFIELE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 HOBSON ST
Mailing Address - Street 2:APT A
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-6452
Mailing Address - Country:US
Mailing Address - Phone:203-730-2249
Mailing Address - Fax:
Practice Address - Street 1:13 HOBSON ST
Practice Address - Street 2:APT A
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-6452
Practice Address - Country:US
Practice Address - Phone:203-730-2249
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-26
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT049063207R00000X
CT49063208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT49063OtherCT LICENSE