Mauriello, Mark Thomas
Mauriello, Mark Thomas is an individual health care provider with primary practice located at 50 Gaylord Farm Rd , Wallingford CT 06492. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mauriello, Mark Thomas can be contacted via phone (203) 284-2800.Contact Information
Primary practice address
50 Gaylord Farm Rd
Wallingford CT 06492
Phone: (203) 284-2800
Fax: (203) 294-8705
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 37293 | South Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 52527 | Connecticut |
Profile Details
| NPI number | 1255627618 |
|---|---|
| LBN Legal business name | Mauriello, Mark Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2011 |
| Last updated | Jul 18th, 2024 - about 2 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 | 1255627618 | NPPES |
| South Carolina | MEDICAID | 372938 |
Popular Providers
-
Ehrlich, Vicki
Gaylord Farms Rd. , Wallingford CT 06492 -
Braylovsky, Anatoly
850 N Main Street Ext Building 2 Suite 1B, Wallingford CT 06492-2400 -
Bernshteyn, Alla
67 Masonic Ave 1St Floor, Wallingford CT 06492-3095 -
Sun, Pei Fang
850 N Main Street Ext Building1,A3, Wallingford CT 06492-2400 -
Schustek, Mary Elizabeth
67 Masonic Ave Suite 3100, Wallingford CT 06492-3095 -
Prestwood, Karen M.
22 Masonic Ave 1St Floor, Wallingford CT 06492-3095 -
Tsai, Jung T
15 S Elm St , Wallingford CT 06492-4741 -
Lack, Sylvia
Gaylord Farms Rd. , Wallingford CT 06492