Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ethan Marin, MDPHD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740455864

Dr. Ethan Marin, MDPHD is a Student in an Organized Health Care Education/Training Program in New Haven, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

New Haven, CT

No coordinates on file. Search this address in Google Maps

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 047176 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1740455864
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorYes
NPI enumeratedApril 29, 2008
Last updated in NPPESJanuary 5, 2010

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