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Contact Information

MARK D HAGEDORN, MD
240 EAST ST
PLAINVILLE, CT06062
 Phone: 860-747-4541
 Fax: 860-793-1218
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for MARK D HAGEDORN · (Male)

NPI Number 1972617827
Status Active
Credentials MD
Entity Individual
Enumeration date 08/18/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 20000
Hospital affiliation(s) Not Available
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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