Individual
MARK J PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1030 NEW BRITAIN AVE, HARTFORD, CT 06110-2261
(860) 947-2308
(860) 947-2309
Mailing address
104 WHITMAN AVE, WEST HARTFORD, CT 06107-1754
(860) 233-6296
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
001818
CT
Other
Enumeration date
09/27/2006
Last updated
03/29/2012
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