Individual
MARK D REGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 MAIN ST, WEST HAVEN, CT 06516-4296
(203) 931-1184
(203) 931-0063
Mailing address
415 MAIN ST, WEST HAVEN, CT 06516-4296
(203) 931-1184
(203) 931-0063
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
028293
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001282938
—
CT
Enumeration date
07/28/2006
Last updated
10/23/2013
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