Provider Information for 1265896328
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ALEXIS NEWMARK M.D.
Sex: Female
NPI: 1265896328
Last Updated: 2016-06-14
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1265896328 | ||||||||
| Enumeration Date | 2016-04-05 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 263 FARMINGTON AVE FARMINGTON, CT 06030-2947 United States Phone: 860-679-2853 | Fax:860-679-1228 | ||||||||
| Primary Practice Address | 263 FARMINGTON AVE FARMINGTON, CT 06030-2947 United States Phone: 860-679-2853 | Fax:860-679-1228 | ||||||||
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