MR. MARK TABAKA, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1457353005
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | 1803 (CT) |
Frequently Asked Questions
NPI 1457353005 is the National Provider Identifier for MR. MARK TABAKA, PA-C, a Physician Assistant - Medical provider located in Bristol, CT. This NPI was enumerated on August 12, 2005.
MR. MARK TABAKA, PA-C practices at 576 FARMINGTON AVE, Bristol, CT 06010.
Quick Facts
- NPI
- 1457353005
- Type
- Individual
- Enumerated
- Aug 12, 2005
- Last Updated
- Nov 5, 2018
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