Individual
MARK S SAFALOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-4477
(860) 679-8770
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 679-4477
(860) 679-8770
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
040630
CT
208M00000X
Hospitalist Physician
Primary
40630
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001406306
—
CT
Enumeration date
11/04/2005
Last updated
07/13/2022
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