Fiengo, Mark N
Fiengo, Mark N is an individual health care provider with primary practice located at 196 Parkway S Suite 103, Waterford CT 06385-1234. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Fiengo, Mark N can be contacted via phone (860) 443-4383.Contact Information
Primary practice address
196 Parkway S Suite 103
Waterford CT 06385-1234
Phone: (860) 443-4383
Fax: (860) 443-3980
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 00281 | Connecticut |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 000281 | Connecticut |
Profile Details
| NPI number | 1245214220 |
|---|---|
| LBN Legal business name | Fiengo, Mark N |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Mar 10th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245214220 | NPPES |
| Connecticut | MEDICAID | 001002815 |
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