| 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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