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Individual

DR. MARK ALFRED DESJARDINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
NAVAL AMBULATORY CARE CENTER, ROUTE 12 BLDG 449 ATTN PROFESSIONAL AFFAIRS, GROTON, CT 06349-5600
(860) 694-2377
(860) 694-2590
Mailing address
UNIT 33109 BOX 4713R, APO, AE 09180-0947
(860) 536-1555

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9300
NH

Other

Enumeration date
01/20/2006
Last updated
05/22/2024
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