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Contact Information

MARK SPENCER, MD
114 WOODLAND ST
HARTFORD, CT06105-1208
 Phone: 860-714-6654
 Fax: 860-714-8110
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for MARK SPENCER · (Male)

NPI # 1508818097
Status Active
Credentials MD
Entity Individual
Enumeration date 05/16/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 033719
Hospital affiliation(s)
  • JOHNSON MEMORIAL HOSPITAL - (Acute Care)
    201 CHESTNUT HILL RD
    STAFFORD SPRINGS, CT 06076
  • MERCY MEDICAL CENTER - (Acute Care)
    271 CAREW STREET
    SPRINGFIELD, MA 01104
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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