Active NPIIndividual provider

Dr. Mark T Mauriello, MD

Internal Medicine in Wallingford, Connecticut

NPI Number1255627618
Practice location
50 Gaylord Farm RD, Wallingford, CT 06492
Fax
203-294-8705
Last updated
July 18, 2024

Mark Thomas Mauriello is an Internal Medicine based in Wallingford, CT. Mark Thomas Mauriello practices in Wallingford, CT and has the professional credentials of MD. The NPI Number for Mark Thomas Mauriello is 1255627618 and holds a License No. 37293 (SC). The current practice location address for Mark Thomas Mauriello is 50 Gaylord Farm RD, Wallingford, CT 06492 and can be reached out via phone at 203-284-2800 and via fax at 203-294-8705.

Provider Profile Details

NPI Number
1255627618
Provider Name
Mark Thomas Mauriello
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
50 Gaylord Farm RD, Wallingford, CT 06492
Phone Number
203-284-2800
Fax Number
203-294-8705
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
June 23, 2011
Last Update Date
July 18, 2024
Certification Date
July 18, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
50 Gaylord Farm RD
Wallingford, CT 06492
Zip
06492
Phone Number
203-284-2800
Fax Number
203-294-8705
Wallingford, CT 06492Get directions →

Provider Business Mailing Address Details

Address
20 York Street, Cb-2041
New Haven, CT 06510-3220
City
New Haven
State
CT
Zip
06510-3220
Phone Number
203-688-4748
Fax Number
203-688-4740

License Information

License Number (1)
37293
License State (1)
SC
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
52527
License State (2)
CT
Taxonomy (2)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mark T Mauriello, MD?

The NPI number of Dr. Mark T Mauriello, MD is 1255627618. It was assigned on June 23, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Mark T Mauriello, MD?

Dr. Mark T Mauriello, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in SC under license number 37293.

Where does Dr. Mark T Mauriello, MD practice?

The practice location is 50 Gaylord Farm RD, Wallingford, CT 06492. The office can be reached at 203-284-2800 (phone) or 203-294-8705 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255627618 directly on the NPPES registry website.

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