Active NPIIndividual provider

Mr. Mark J Coyle, PA-C

Physician Assistant in Putnam, Connecticut

NPI Number1376517136
Practice location
320 Pomfret St, Putnam, CT 06260-1836
Fax
860-963-6368
Last updated
September 14, 2015

Mark J. Coyle is a Physician Assistant based in Putnam, CT. Mark J. Coyle practices in Putnam, CT and has the professional credentials of PA-C. The NPI Number for Mark J. Coyle is 1376517136 and holds a License No. 000683 (CT). The current practice location address for Mark J. Coyle is 320 Pomfret St, Putnam, CT 06260-1836 and can be reached out via phone at 860-928-6541 and via fax at 860-963-6368.

Provider Profile Details

NPI Number
1376517136
Provider Name
Mark J. Coyle
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
320 Pomfret St, Putnam, CT 06260-1836
Phone Number
860-928-6541
Fax Number
860-963-6368
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
February 16, 2006
Last Update Date
September 14, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
320 Pomfret St
Putnam, CT 06260-1836
City
Putnam
Zip
06260-1836
Phone Number
860-928-6541
Fax Number
860-963-6368
Putnam, CT 06260Get directions →

Provider Business Mailing Address Details

Address
Po Box 409010
Atlanta, GA 30384-9010
City
Atlanta
State
GA
Zip
30384-9010
Phone Number
800-377-8721
Fax Number
304-523-2241

License Information

License Number
000683
License State
CT
Taxonomy
Physician Assistant · 363A00000X · 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 Mr. Mark J Coyle, PA-C?

The NPI number of Mr. Mark J Coyle, PA-C is 1376517136. It was assigned on February 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Mark J Coyle, PA-C?

Mr. Mark J Coyle, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 000683.

Where does Mr. Mark J Coyle, PA-C practice?

The practice location is 320 Pomfret St, Putnam, CT 06260-1836. The office can be reached at 860-928-6541 (phone) or 860-963-6368 (fax).

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 1376517136 directly on the NPPES registry website.

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