Dr. Mark G Indelicato, MD
Anesthesiology, Pediatric Anesthesiology in East Hartford, Connecticut
1508989435- Practice location
- 111 Founders Plz, Suite 300, East Hartford, CT 06108-3212
- Phone
- 860-282-0833
- Fax
- —
- Last updated
- August 23, 2023
Mark George Indelicato is an Anesthesiology, Pediatric Anesthesiology based in East Hartford, CT. Mark George Indelicato practices in East Hartford, CT and has the professional credentials of MD. The NPI Number for Mark George Indelicato is 1508989435 and holds a License No. 230300 (NY). The current practice location address for Mark George Indelicato is 111 Founders Plz, Suite 300, East Hartford, CT 06108-3212 and can be reached out via phone at 860-282-0833.
Provider Profile Details
- NPI Number
- 1508989435
- Provider Name
- Mark George Indelicato
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 111 Founders Plz, Suite 300, East Hartford, CT 06108-3212
- Phone Number
- 860-282-0833
- Primary Taxonomy
- Anesthesiology, Pediatric Anesthesiology · 207LP3000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 7, 2007
- Last Update Date
- August 23, 2023
- Certification Date
- August 23, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 111 Founders Plz
Suite 300
East Hartford, CT 06108-3212 - City
- East Hartford
- State
- Connecticut
- Zip
- 06108-3212
- Phone Number
- 860-282-0833
Provider Business Mailing Address Details
- Address
- 35 Westwood Ave
Deer Park, NY 11729-2805 - City
- Deer Park
- State
- NY
- Zip
- 11729-2805
- Phone Number
- 917-575-4859
License Information
- License Number (1)
- 230300
- License State (1)
- NY
- Taxonomy (1)
- Anesthesiology · 207L00000X
- License Number (2)
- 044388
- License State (2)
- CT
- Taxonomy (2)
- Anesthesiology · 207L00000X
- License Number (3)
- 044388
- License State (3)
- CT
- Taxonomy (3)
- Anesthesiology, Pediatric Anesthesiology · 207LP3000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 G Indelicato, MD?
The NPI number of Dr. Mark G Indelicato, MD is 1508989435. It was assigned on April 7, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Mark G Indelicato, MD?
Dr. Mark G Indelicato, MD is registered under the primary taxonomy Anesthesiology, Pediatric Anesthesiology (code 207LP3000X), licensed in NY under license number 230300.
Where does Dr. Mark G Indelicato, MD practice?
The practice location is 111 Founders Plz, Suite 300, East Hartford, CT 06108-3212. The office can be reached at 860-282-0833 (phone).
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 1508989435 directly on the NPPES registry website.