Individual
DR. THOMAS CRAIG MORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 FOUNDERS PLZ, #300 C/O IPMS, EAST HARTFORD, CT 06108-3212
(860) 282-4022
(860) 282-0170
Mailing address
111 FOUNDERS PLZ, #300 C/O IPMS, EAST HARTFORD, CT 06108-3212
(860) 282-4022
(860) 282-0170
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
031463
CT
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
031463
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001314632
—
CT
Enumeration date
10/10/2005
Last updated
02/29/2008
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