Individual
DR. MARK THOMAS MAURIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 GAYLORD FARM RD, WALLINGFORD, CT 06492
(203) 284-2800
(203) 294-8705
Mailing address
20 YORK STREET, CB-2041, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
37293
SC
207R00000X
Internal Medicine Physician
Primary
52527
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372938
—
SC
Enumeration date
06/23/2011
Last updated
07/18/2024
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