Mr. Mark E Decora, PA C
Physician Assistant, Medical in Uncasvill, Connecticut
1376645382- Practice location
- 88 New London Tpke, Uncasvill, CT 06382-0000
- Phone
- 860-848-1297
- Fax
- 860-848-2487
- Last updated
- September 23, 2015
Mark E Decora is a Physician Assistant, Medical based in Uncasvill, CT. Mark E Decora practices in Uncasvill, CT and has the professional credentials of PA C. The NPI Number for Mark E Decora is 1376645382 and holds a License No. 000449 (CT). The current practice location address for Mark E Decora is 88 New London Tpke, Uncasvill, CT 06382-0000 and can be reached out via phone at 860-848-1297 and via fax at 860-848-2487.
Provider Profile Details
- NPI Number
- 1376645382
- Provider Name
- Mark E Decora
- Credential
- PA C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 88 New London Tpke, Uncasvill, CT 06382-0000
- Phone Number
- 860-848-1297
- Fax Number
- 860-848-2487
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 1, 2006
- Last Update Date
- September 23, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 88 New London Tpke
Uncasvill, CT 06382-0000 - City
- Uncasvill
- State
- Connecticut
- Zip
- 06382-0000
- Phone Number
- 860-848-1297
- Fax Number
- 860-848-2487
Provider Business Mailing Address Details
- Address
- 112 Lafayette St
Norwich, CT 06360-2737 - City
- Norwich
- State
- CT
- Zip
- 06360-2737
- Phone Number
- 860-425-8701
- Fax Number
- 860-425-8707
License Information
- License Number
- 000449
- License State
- CT
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Medical providers near Uncasvill, CT
View all Physician Assistant, Medical providers in Uncasvill →Frequently Asked Questions
What is the NPI number of Mr. Mark E Decora, PA C?
The NPI number of Mr. Mark E Decora, PA C is 1376645382. It was assigned on September 1, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Mark E Decora, PA C?
Mr. Mark E Decora, PA C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 000449.
Where does Mr. Mark E Decora, PA C practice?
The practice location is 88 New London Tpke, Uncasvill, CT 06382-0000. The office can be reached at 860-848-1297 (phone) or 860-848-2487 (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 1376645382 directly on the NPPES registry website.