Provider Information for 1962666545
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Dr. MASON PETER LEEMAN-MARKOWSKI MD, PhD
Sex: Male
NPI: 1962666545
Last Updated: 2022-09-30
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||
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| NPI | 1962666545 | ||||||||||||||||
| Enumeration Date | 2008-07-14 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 263 FARMINGTON AVE FARMINGTON, CT 06030-0001 United States Phone: 860-679-4888 | Fax:860-679-0131 | ||||||||||||||||
| Primary Practice Address | 263 FARMINGTON AVE FARMINGTON, CT 06030-0001 United States Phone: 860-679-4888 | Fax:860-679-0131 | ||||||||||||||||
| Secondary Practice Address(es) | HSC T12-020 | ||||||||||||||||
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