Individual
DR. MARK D. YORGENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
220 SALEM TPKE, NORWICH, CT 06360-6455
(860) 985-9860
Mailing address
116 CHENEY RD, MARLBOROUGH, CT 06447-1331
(860) 985-9860
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2454
CT
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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