Individual
MARK POWERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
GAYLORD FARMS RD., WALLINGFORD, CT 06492
(203) 284-2800
(203) 679-3598
Mailing address
PO BOX 400, WALLINGFORD, CT 06492-7048
(203) 284-2800
(203) 294-8734
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000337
CT
Other
Enumeration date
05/12/2006
Last updated
01/30/2020
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