Provider Demographics
NPI:1598935058
Name:LITZENDORF, MARIA ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:ELIZABETH
Last Name:LITZENDORF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6 RESEARCH DR STE 105
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-6228
Mailing Address - Country:US
Mailing Address - Phone:203-210-6340
Mailing Address - Fax:203-502-2615
Practice Address - Street 1:360 TOLLAND TPKE STE 1A
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06042-1759
Practice Address - Country:US
Practice Address - Phone:860-533-6551
Practice Address - Fax:860-533-6552
Is Sole Proprietor?:No
Enumeration Date:2008-03-11
Last Update Date:2023-06-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA218744208600000X
DCMD0448262086S0129X
CT696362086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery