Mittauer, Mark William

Mittauer, Mark William is an individual health care provider with primary practice located at Rte 12 Bldg 449 , Groton CT 06349-5600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Mittauer, Mark William can be contacted via phone (860) 694-2377.

Contact Information

Primary practice address
Rte 12 Bldg 449 Groton CT 06349-5600
Phone: (860) 694-2377
Fax: (860) 694-2590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME48585 Florida

Profile Details

NPI number 1255322996
LBN Legal business name Mittauer, Mark William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jun 3rd, 2015 - about 9 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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