Individual
MARK SAMUEL ISCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 785-4404
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
68000
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/20/2015
Last updated
05/23/2021
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