Individual
MARCO ABDO MOUANNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 MAIN ST STE 101, WESTPORT, CT 06880-3216
(203) 557-9696
Mailing address
475 MAIN ST APT 2R, NEW YORK, NY 10044-0084
(332) 217-7997
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
67160
CT
207VG0400X
Gynecology Physician
67160
CT
207VX0000X
Obstetrics Physician
67160
CT
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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