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

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

Practice location Address checks out

330 Cedar St BB114
New Haven, CT 06510-3218
Phone: (203) 785-4185
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

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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