Active NPIIndividual providerSole proprietor

Dr. Mark R Weisburst, MD

Case Manager/Care Coordinator in West Hartford, Connecticut

NPI Number1295007433
Practice location
66 High Ridge RD, West Hartford, CT 06117-1813
Fax
—
Last updated
February 3, 2012

Mark Robert Weisburst is a Case Manager/Care Coordinator based in West Hartford, CT. Mark Robert Weisburst practices in West Hartford, CT and has the professional credentials of MD. The NPI Number for Mark Robert Weisburst is 1295007433 and holds a License No. 20174 (CT). The current practice location address for Mark Robert Weisburst is 66 High Ridge RD, West Hartford, CT 06117-1813 and can be reached out via phone at 860-236-8538.

Provider Profile Details

NPI Number
1295007433
Provider Name
Mark Robert Weisburst
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
66 High Ridge RD, West Hartford, CT 06117-1813
Phone Number
860-236-8538
Primary Taxonomy
Case Manager/Care Coordinator · 171M00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 3, 2012
Last Update Date
February 3, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
66 High Ridge RD
West Hartford, CT 06117-1813
Zip
06117-1813
Phone Number
860-236-8538
West Hartford, CT 06117Get directions →

Provider Business Mailing Address Details

Address
66 High Ridge RD
West Hartford, CT 06117-1813
City
West Hartford
State
CT
Zip
06117-1813
Phone Number
860-236-8538

License Information

License Number
20174
License State
CT
Taxonomy
Case Manager/Care Coordinator · 171M00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mark R Weisburst, MD?

The NPI number of Dr. Mark R Weisburst, MD is 1295007433. It was assigned on February 3, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Mark R Weisburst, MD?

Dr. Mark R Weisburst, MD is registered under the primary taxonomy Case Manager/Care Coordinator (code 171M00000X), licensed in CT under license number 20174.

Where does Dr. Mark R Weisburst, MD practice?

The practice location is 66 High Ridge RD, West Hartford, CT 06117-1813. The office can be reached at 860-236-8538 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295007433 directly on the NPPES registry website.

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