Organization
MARK W. IZARD, M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK W. IZARD M.D. (M.D./PRESIDENT)
(860) 246-8861
Entity
Organization
Contact information
Practice address
85 SEYMOUR ST., SUITE 901, HARTFORD, CT 06106-5528
(860) 246-8861
(860) 724-4858
Mailing address
85 SEYMOUR ST., SUITE 901, HARTFORD, CT 06106-5528
(860) 246-8861
(860) 724-4858
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
010196
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001101963
—
CT
Enumeration date
09/03/2009
Last updated
12/11/2009
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