Individual
MARK R MERCURIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK ST, YNHH CHILDREN'S HOSPITAL, 2ND FLOOR, NEW HAVEN, CT 06510-3220
(203) 785-2320
(203) 688-5426
Mailing address
20 YORK ST, YNHH CHILDREN'S HOSPITAL, 2ND FLOOR, NEW HAVEN, CT 06510-3220
(203) 785-2320
(203) 688-5426
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
026775
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001267758
—
CT
Enumeration date
12/05/2005
Last updated
03/17/2011
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