Mark Lee Dick M.D.

NPI 1003806084 - Internal Medicine - 207RG0300X

NPI Details
NPI 1003806084
Gender Male
Enumeration Date 10/21/2005
Last Updated 10/28/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
1 WAHOO AVE BLDG 449
GROTON CT, 06349-2324, US
Phone (860) 694-7555
Fax (860) 694-1519
Business Location
1 WAHOO AVE BLDG 449
GROTON CT, 06349-2324, US
Phone (860) 694-7555
Fax (860) 694-1519
Toxanomy
Taxonomy Code 207RG0300X
License State Missouri
License Number 106644
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According to our database, Dr. Mark Lee Dick M.D. NPI is 1003806084, taxonomy code is 207RG0300X and license number is 106644, license state is located at Missouri. Mark Lee Dick M.D. physically located at 1 Wahoo Ave Bldg 449, Groton CT, 06349-2324. NPI Number Mark Lee Dick M.D. has the Individual type.

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1003806084 NPI number is provided on an as is basis without warranty of any kind. 1003806084 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Lee Dick M.D. are for informational purposes only.