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Dr. Dennis D Mauricio, MD
Obstetrics & Gynecology Physician in New Haven, Connecticut
NPI 1063675056

Dennis D Mauricio is a Obstetrics & Gynecology Physician based in New Haven, CT. Dennis D Mauricio practices in New Haven, CT and has the professional credentials of MD. The NPI Number for Dennis D Mauricio is 1063675056 and holds a License No. MD60339282 (Connecticut).

The current practice location address for Dennis D Mauricio is 20 York St, New Haven, CT and can be reached out via phone at 203-688-4242.

Location: 20 York St, New Haven, CT, 06510-3220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063675056
Provider Name
Dennis D Mauricio
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
20 York St, New Haven, CT, 06510-3220
Phone Number
203-688-4242
Fax Number
Provider Enumeration Date
07/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03019243 05 NY
0309298 01 WA L&I
G8919189 01 WA MEDICARE
institution
Provider Business Practice Location Address Details
Address
20 York St
City
New Haven
State
Connecticut
Zip
06510-3220
Phone Number
203-688-4242
Fax Number
person
Provider Business Mailing Address Details
Address
20 York St
City
New Haven
State
Connecticut
Zip
06510-3220
Phone Number
203-688-4242
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
T9742 (Texas)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecologic Oncology
Taxonomy
207VX0201X
License No.
003155 (New York)
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MD60339282 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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