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Individual

DR. DAVID R MARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
111 WAKELEE AVE, ANSONIA, CT 06401-1151
(203) 308-2781
(203) 308-2726
Mailing address
67 MAPLE AVE, DERBY, CT 06418-1328
(203) 732-1330
(203) 732-1332

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
032912
CT
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
032912
CT

Other

Enumeration date
09/20/2007
Last updated
12/07/2020
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