Individual
MARK CRAWFORD BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
263 FARMINGTON AVE, OCCUPATIONAL MEDICINE, FARMINGTON, CT 06030-6210
(860) 679-2893
(860) 679-4587
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT OFFICE, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
037373
CT
Other
Enumeration date
01/18/2010
Last updated
09/26/2022
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