Tabaka, Mark
Tabaka, Mark is an individual health care provider with primary practice located at 576 Farmington Ave , Bristol CT 06010-3933. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Tabaka, Mark can be contacted via phone (860) 585-3000.Contact Information
Primary practice address
576 Farmington Ave
Bristol CT 06010-3933
Phone: (860) 585-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1803 | Connecticut |
Profile Details
| NPI number | 1457353005 |
|---|---|
| LBN Legal business name | Tabaka, Mark |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Nov 5th, 2018 - about 6 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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