Mark W. Izard, M.d. P.c. | |
85 Seymour St. Suite 901 Hartford CT 06106-5528 | |
(860) 246-8861 | |
(860) 724-4858 |
Full Name | Mark W. Izard, M.d. P.c. |
---|---|
Speciality | Internal Medicine |
Location | 85 Seymour St., Hartford, Connecticut |
Authorized Official Name and Position | Mark W. Izard (M.D./PRESIDENT) |
Authorized Official Contact | 8602468861 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mark W. Izard, M.d. P.c. 85 Seymour St. Suite 901 Hartford CT 06106-5528 Ph: (860) 246-8861 | Mark W. Izard, M.d. P.c. 85 Seymour St. Suite 901 Hartford CT 06106-5528 Ph: (860) 246-8861 |
NPI Number | 1154554483 |
---|---|
Provider Enumeration Date | 09/03/2009 |
Last Update Date | 12/11/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154554483 | NPI | - | NPPES |
001101963 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 010196 (Connecticut) | Primary |
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