Individual
MARK WILLIAM GURGA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
326 MAIN ST, SOUTHINGTON, CT 06489-2508
(860) 621-1996
Mailing address
375 MAIN ST, OLD SAYBROOK, CT 06475-2309
(203) 747-0239
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0013063
CT
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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