Active NPIIndividual provider

Dr. Mark X Cicero, MD

Pediatrics, Pediatric Emergency Medicine in New Haven, Connecticut

NPI Number1548315823
Practice location
20 York St, New Haven, CT 06504-8900
Fax
—
Last updated
July 8, 2007

Mark Xavier Cicero is a Pediatrics, Pediatric Emergency Medicine based in New Haven, CT. Mark Xavier Cicero practices in New Haven, CT and has the professional credentials of MD. The NPI Number for Mark Xavier Cicero is 1548315823 and holds a License No. fellowtraininglicens (CT). The current practice location address for Mark Xavier Cicero is 20 York St, New Haven, CT 06504-8900 and can be reached out via phone at 203-688-7970.

Provider Profile Details

NPI Number
1548315823
Provider Name
Mark Xavier Cicero
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
20 York St, New Haven, CT 06504-8900
Phone Number
203-688-7970
Primary Taxonomy
Pediatrics, Pediatric Emergency Medicine · 2080P0204X
Sole Proprietor
No
Other Names
Dr. Mark John Cicero, MD (Other Name)
Provider Enumeration Date
January 24, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 York St
New Haven, CT 06504-8900
Zip
06504-8900
Phone Number
203-688-7970
New Haven, CT 06504Get directions →

Provider Business Mailing Address Details

Address
84 Russell St
Hamden, CT 06517-2017
City
Hamden
State
CT
Zip
06517-2017
Phone Number
757-575-8007

License Information

License Number
fellowtraininglicens
License State
CT
Taxonomy
Pediatrics, Pediatric Emergency Medicine · 2080P0204X · 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 X Cicero, MD?

The NPI number of Dr. Mark X Cicero, MD is 1548315823. It was assigned on January 24, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Mark X Cicero, MD?

Dr. Mark X Cicero, MD is registered under the primary taxonomy Pediatrics, Pediatric Emergency Medicine (code 2080P0204X), licensed in CT under license number fellowtraininglicens.

Where does Dr. Mark X Cicero, MD practice?

The practice location is 20 York St, New Haven, CT 06504-8900. The office can be reached at 203-688-7970 (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 1548315823 directly on the NPPES registry website.

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