Individual
DR. MARK ROBERT WEISBURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
66 HIGH RIDGE RD, WEST HARTFORD, CT 06117-1813
(860) 236-8538
Mailing address
66 HIGH RIDGE RD, WEST HARTFORD, CT 06117-1813
(860) 236-8538
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
20174
CT
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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