Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK TABAKA, PA-C
ActiveMR. MARK TABAKA, PA-C is a Medical Physician Assistant healthcare provider located in BRISTOL, Connecticut. NPI 1457353005 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · BRISTOL, CT
Registration Details
- NPI Number
- 1457353005
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 12, 2005 (20.969681508526 yrs)
- Last Updated
- Nov 5, 2018
- License
-
1803 (CT)
Practice Information
- Address
-
576 FARMINGTON AVEBRISTOL, CT, 060103933Browse CT providers · Browse ZIP 06010
- Phone
- 8605853000
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in BRISTOL, CT
| Name | Credential | NPI |
|---|---|---|
| MS. DOREEN A. RACKLIFFE | PA-C | 1710965397 |
| ANTONIO SANTORO | PA | 1124051750 |
| RHONDA FELICIA-ANN CERRITELLI | PA | 1184641995 |
| GINA F LIDESTRI | PA | 1043403868 |
| ANNA HOUSMAN | P.A.C. | 1609161694 |
| MR. JARET TERRELL WILLIAMS | PA-C | 1427486380 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.