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Individual

MARK CARRASCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
401 FEDERAL RD, BROOKFIELD, CT 06804-4002
(203) 775-6365
Mailing address
401 FEDERAL RD, BROOKFIELD, CT 06804-4002
(203) 775-6365

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD.47060
AL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
81449
CT

Other

Enumeration date
03/26/2020
Last updated
06/03/2025
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