Dziedzic, Mark

Dziedzic, Mark is an individual health care provider with primary practice located at 263 Farmington Ave , Farmington CT 06032-1956. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Dziedzic, Mark can be contacted via phone (860) 679-2000.

Contact Information

Primary practice address
263 Farmington Ave Farmington CT 06032-1956
Phone: (860) 679-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 046089 Connecticut

Profile Details

NPI number 1770775124
LBN Legal business name Dziedzic, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2007
Last updated Jul 18th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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