Provider Demographics
NPI:1679239842
Name:MARIJON, ELOI (MD)
Entity type:Individual
Prefix:
First Name:ELOI
Middle Name:
Last Name:MARIJON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 BOULEVARD LANNES
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:ILE DE FRANCE
Mailing Address - Zip Code:75116
Mailing Address - Country:FR
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:45 BOULEVARD LANNES
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:ILE DE FRANCE
Practice Address - Zip Code:75116
Practice Address - Country:FR
Practice Address - Phone:857-719-6825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-12
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ7574735207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease