Dr. Mark Dziedzic, MD
Emergency Medicine in Farmington, Connecticut
1770775124- Practice location
- 263 Farmington Ave, Farmington, CT 06032-1956
- Phone
- 860-679-2000
- Fax
- —
- Last updated
- July 18, 2008
Mark Dziedzic is an Emergency Medicine based in Farmington, CT. Mark Dziedzic practices in Farmington, CT and has the professional credentials of MD. The NPI Number for Mark Dziedzic is 1770775124 and holds a License No. 046089 (CT). The current practice location address for Mark Dziedzic is 263 Farmington Ave, Farmington, CT 06032-1956 and can be reached out via phone at 860-679-2000.
Provider Profile Details
- NPI Number
- 1770775124
- Provider Name
- Mark Dziedzic
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 263 Farmington Ave, Farmington, CT 06032-1956
- Phone Number
- 860-679-2000
- Primary Taxonomy
- Emergency Medicine · 207P00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 9, 2007
- Last Update Date
- July 18, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 263 Farmington Ave
Farmington, CT 06032-1956 - City
- Farmington
- State
- Connecticut
- Zip
- 06032-1956
- Phone Number
- 860-679-2000
Provider Business Mailing Address Details
- Address
- 80 Seymour St.
Conkliln Building Rm 114
Hartford, CT 06102-5037 - City
- Hartford
- State
- CT
- Zip
- 06102-5037
- Phone Number
- 860-545-1448
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 046089
- License State (2)
- CT
- Taxonomy (2)
- Emergency Medicine · 207P00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dziedzic, MD?
The NPI number of Dr. Mark Dziedzic, MD is 1770775124. It was assigned on August 9, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Mark Dziedzic, MD?
Dr. Mark Dziedzic, MD is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in CT under license number 046089.
Where does Dr. Mark Dziedzic, MD practice?
The practice location is 263 Farmington Ave, Farmington, CT 06032-1956. The office can be reached at 860-679-2000 (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 1770775124 directly on the NPPES registry website.