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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MARK TABAKA, PA-C

Active

MR. 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 AVE
BRISTOL, CT, 060103933
Browse 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.