Individual
MARK A PERAZELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
789 HOWARD AVE, DANA BUILDING - 3RD FLOOR, NEW HAVEN, CT 06519-1304
(203) 785-4184
(203) 785-7068
Mailing address
789 HOWARD AVE, DANA BUILDING - 3RD FLOOR, NEW HAVEN, CT 06519-1304
(203) 785-4184
(203) 785-7068
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
031004
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001310044
—
CT
Enumeration date
12/05/2005
Last updated
03/18/2011
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