Provider Demographics
NPI:1609162197
Name:SILVA, MAURICIO RODRIGUES LOUREIRO (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:MAURICIO
Middle Name:RODRIGUES LOUREIRO
Last Name:SILVA
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:85 LAFAYETTE STREET
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051-2016
Mailing Address - Country:US
Mailing Address - Phone:860-224-3642
Mailing Address - Fax:860-224-2760
Practice Address - Street 1:305 CHURCH ST STE 15
Practice Address - Street 2:
Practice Address - City:NAUGATUCK
Practice Address - State:CT
Practice Address - Zip Code:06770-2836
Practice Address - Country:US
Practice Address - Phone:203-729-6641
Practice Address - Fax:203-575-5206
Is Sole Proprietor?:No
Enumeration Date:2011-06-22
Last Update Date:2018-03-17
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Provider Licenses
StateLicense IDTaxonomies
MA248448207R00000X
CT53116207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine