Individual
MR. MARK TAAFEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-7403
(203) 732-7177
Mailing address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-7403
(203) 732-7177
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000225
CT
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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