Individual
MARK COMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-6394
(860) 358-6748
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-6394
(860) 358-6748
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
232
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000232
CT LICENSE
CT
Enumeration date
07/27/2007
Last updated
12/27/2011
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