Individual
MR. MARK E DECORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
88 NEW LONDON TPKE, UNCASVILL, CT 06382-0000
(860) 848-1297
(860) 848-2487
Mailing address
112 LAFAYETTE ST, NORWICH, CT 06360-2737
(860) 425-8701
(860) 425-8707
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000449
CT
Other
Enumeration date
09/01/2006
Last updated
09/23/2015
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