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NPI Code Detail

MEDICARE: DR. MARK DELACURE M.D.

MEDICARE: DR. MARK DELACURE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology Physician196588NY
2207Y00000XOtolaryngology Physician29149CT
3208200000XPlastic Surgery Physician29149CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326049453
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK DELACURE M.D.
Provider Business Mailing Address
First Line : 31 S FENN HILL RD
Second Line :
City : WASHINGTON DEPOT
State : CT
Zip : 06794-1704
Country : US
Telephone Number : 646-761-9548
Fax Number :
Provider Business Practice Location Address
First Line : 24 HOSPITAL AVE
Second Line :
City : DANBURY
State : CT
Zip : 06810-6099
Country : US
Telephone Number : 646-761-9548
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 02/05/2022

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