Individual
MARK D HAGEDORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
240 EAST ST, PLAINVILLE, CT 06062
(860) 747-4541
(860) 793-1218
Mailing address
240 EAST ST, PLAINVILLE, CT 06062
(860) 747-4541
(860) 793-1218
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20000
CT
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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