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Individual

WILLIAM MARK ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 344-6394
(860) 344-6748
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 344-6394
(860) 344-6748

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
034661
CT

Other

Enumeration date
02/07/2006
Last updated
07/09/2007
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