Individual
DR. MARK DELACURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24 HOSPITAL AVE, DANBURY, CT 06810-6099
(646) 761-9548
Mailing address
31 S FENN HILL RD, WASHINGTON DEPOT, CT 06794-1704
(646) 761-9548
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
196588
NY
207Y00000X
Otolaryngology Physician
Primary
29149
CT
208200000X
Plastic Surgery Physician
29149
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01515080
—
NY
Enumeration date
08/10/2005
Last updated
02/05/2022
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