Individual provider · Type 1 NPI
Mark E. Decora, PA C
Medical Physician Assistant · Uncasvill, CT
NPI number
1376645382
Active
Practice location
88 New London Tpke
Uncasvill, CT 06382-0000
Fax (860) 848-2487
Mailing address
112 Lafayette St
Norwich, CT 06360-2737
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 000449 (CT) |
Medical Physician Assistant: Definition to come...
About NPI 1376645382
Mark E. Decora, PA C's National Provider Identifier is 1376645382, issued on Sep 1, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Uncasvill, CT. The record was last updated on Sep 23, 2015.