Provider Demographics
NPI:1912208281
Name:ROMERO-GONZALEZ, MAURICIO G (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:MAURICIO
Middle Name:G
Last Name:ROMERO-GONZALEZ
Suffix:
Gender:M
Credentials:MD, MPH
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1165 FOREST ROAD
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06515-2443
Mailing Address - Country:US
Mailing Address - Phone:203-691-9611
Mailing Address - Fax:
Practice Address - Street 1:48 HOWE STREET
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511
Practice Address - Country:US
Practice Address - Phone:203-624-1855
Practice Address - Fax:203-624-1884
Is Sole Proprietor?:No
Enumeration Date:2010-11-03
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No171R00000XOther Service ProvidersInterpreter
No1744R1102XOther Service ProvidersSpecialistResearch Study
No174H00000XOther Service ProvidersHealth Educator