Individual
DR. MAGDALEN S MAURIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
135 DIVISION ST, 2ND FLOOR, ANSONIA, CT 06401-2135
(203) 308-2705
(203) 734-0137
Mailing address
67 MAPLE AVE, DERBY, CT 06418-1328
(203) 732-1256
(203) 732-1539
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
38841
CT
207R00000X
Internal Medicine Physician
H17172
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
38841
CT
207RP1001X
Pulmonary Disease Physician
Primary
38841
CT
207RP1001X
Pulmonary Disease Physician
MA70201
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0144347
—
NJ
05
—
6818706
—
NJ
Enumeration date
10/23/2006
Last updated
11/16/2021
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