| NPI Details | |
|---|---|
| NPI | 1003145582 |
| Enumeration Date | 12/13/2009 |
| Last Updated | 12/13/2009 |
| Entity Type | Healthcare Provider |
| Active | Over 7 years ago |
| Authorized Information | |
|---|---|
| Name | MARK ANTHONY MARK |
| Position | PRIMARY THERAPIST |
| Phone | (860) 963-6416 |
| Fax | (860) 963-6303 |
| Practice Location | |
|---|---|
| 320 POMFRET ST PUTNAM CT, 06260-1836, US |
|
| Phone | (860) 963-6416 |
| Fax | (860) 963-6303 |
| Business Location | |
|---|---|
| 42 CAMPBELL AVE VERNON CT, 06066-5404, US |
|
| Phone | |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 324500000X |
| License State | Connecticut |
| License Number | 001670 |
| Remove 1003145582 NPI Number | |
According to our database, Natchaug Hospital NPI is 1003145582, taxonomy code is 324500000X and license number is 001670, license state is located at Connecticut. Natchaug Hospital physically located at 320 Pomfret St, Putnam CT, 06260-1836. NPI Number 1033115704 has the healthcare provider type.
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1003145582 NPI number is provided on an as is basis without warranty of any kind. 1003145582 is maintained by the National Plan & Provider Enumeration System. The contents of Natchaug Hospital are for informational purposes only.
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