Individual
DR. MARK A GREGORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APRN, CNP, NP-C
Contact information
Practice address
42 CONCORD ST, NEW HAVEN, CT 06512-4005
(860) 823-0645
Mailing address
42 CONCORD ST, NEW HAVEN, CT 06512-4005
(860) 823-0645
(203) 469-9925
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
12.004539
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071501
RN
CT
01
—
4539
APRN
CT
01
—
RN2338443
RN/APRN
MA
Enumeration date
11/06/2010
Last updated
10/14/2021
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