Individual
DR. OLIVER MAYORGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
365 MONTAUK AVE, ADMINISTRATION, NEW LONDON, CT 06320-4700
(860) 271-4668
Mailing address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 271-4668
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
047292
CT
207P00000X
Emergency Medicine Physician
19457
MS
207P00000X
Emergency Medicine Physician
233384
NY
207P00000X
Emergency Medicine Physician
MD14138
RI
Other
Enumeration date
02/28/2006
Last updated
04/02/2026
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