Individual
DR. DENNIS D MAURICIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
003155
NY
207V00000X
Obstetrics & Gynecology Physician
Primary
1.064736
CT
207V00000X
Obstetrics & Gynecology Physician
MD60339282
WA
207VX0201X
Gynecologic Oncology Physician
T9742
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03019243
—
NY
01
—
0309298
L&I
WA
01
—
G8919189
MEDICARE
WA
Enumeration date
07/09/2008
Last updated
09/08/2022
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