Individual
DR. NATHAN DANIEL MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06106-3315
(860) 545-2117
Mailing address
30 PARKER RD, MARLBOROUGH, CT 06447-1208
(202) 492-8672
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
050791
CT
207L00000X
Anesthesiology Physician
CDRH.0057872
CO
Other
Enumeration date
11/29/2006
Last updated
10/03/2024
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