Provider Demographics
NPI:1821482019
Name:MULROY, ELISABETH ERIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ELISABETH
Middle Name:ERIN
Last Name:MULROY
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 1:263 FARMINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06030-8073
Mailing Address - Country:US
Mailing Address - Phone:860-679-7580
Mailing Address - Fax:
Practice Address - Street 1:34431 KING STREET ROW
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-4787
Practice Address - Country:US
Practice Address - Phone:302-645-2666
Practice Address - Fax:302-645-6448
Is Sole Proprietor?:No
Enumeration Date:2015-03-25
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
DEC1-0013751208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program