Provider Demographics
NPI:1598021065
Name:POOLE, MARIEL EMILY (MD/MPH)
Entity Type:Individual
Prefix:DR
First Name:MARIEL
Middle Name:EMILY
Last Name:POOLE
Suffix:
Gender:F
Credentials:MD/MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 CEDAR STREET, TMP 3
Mailing Address - Street 2:DEPARTMENT OF ANESTHESIA
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510
Mailing Address - Country:US
Mailing Address - Phone:203-737-1549
Mailing Address - Fax:
Practice Address - Street 1:333 CEDAR STREET, TMP 3
Practice Address - Street 2:DEPARTMENT OF ANESTHESIA
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510
Practice Address - Country:US
Practice Address - Phone:203-737-1549
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-09
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT55945207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology