Mauricio, Dennis D

Mauricio, Dennis D is an individual health care provider with primary practice located at 20 York St , New Haven CT 06510-3220. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Mauricio, Dennis D can be contacted via phone (203) 688-4242.

Contact Information

Primary practice address
20 York St New Haven CT 06510-3220
Phone: (203) 688-4242
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD60339282 Washington
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 003155 New York
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X T9742 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 1.064736 Connecticut

Profile Details

NPI number 1063675056
LBN Legal business name Mauricio, Dennis D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2008
Last updated Sep 8th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063675056 NPPES
New York MEDICAID 03019243
New York Other 0309298
New York Other G8919189

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