Mark D. Yorgensen O.D.

NPI 1497836829 - Optometrist - 152W00000X

NPI Details
NPI 1497836829
Gender Male
Enumeration Date 10/19/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
220 SALEM TPKE
NORWICH CT, 06360-6455, US
Phone (860) 985-9860
Fax
Business Location
116 CHENEY RD
MARLBOROUGH CT, 06447-1331, US
Phone (860) 985-9860
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Connecticut
License Number 2454
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According to our database, Dr. Mark D. Yorgensen O.D. NPI is 1497836829, taxonomy code is 152W00000X and license number is 2454, license state is located at Connecticut. Mark D. Yorgensen O.D. physically located at 220 Salem Tpke, Norwich CT, 06360-6455. NPI Number Mark D. Yorgensen O.D. has the Individual type.

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1497836829 NPI number is provided on an as is basis without warranty of any kind. 1497836829 is maintained by the National Plan & Provider Enumeration System. The contents of Mark D. Yorgensen O.D. are for informational purposes only.