# DR. MAGDALEN S MAURIELLO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1770666059
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 38841 | CT | — |
| 207R00000X | Internal Medicine Physician | H17172 | NJ | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | 38841 | CT | — |
| 207RP1001X | Pulmonary Disease Physician | 38841 | CT | Yes |
| 207RP1001X | Pulmonary Disease Physician | MA70201 | NJ | — |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 11/16/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0144347 | — | NJ |
| 05 | — | 6818706 | — | NJ |