Individual
DR. MARK XAVIER CICERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06504-8900
(203) 688-7970
Mailing address
84 RUSSELL ST, HAMDEN, CT 06517-2017
(757) 575-8007
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
FELLOWTRAININGLICENS
CT
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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