MARK TABAKA

BRISTOL, CT
NPI1457353005
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CT  1803)
Enumeration Date2005-08-12
Last Update Date2018-11-05
Business Address
Mr. MARK TABAKA PA-C
576 FARMINGTON AVE
BRISTOL, CT 06010-3933
Phone number: 860-585-3000
Mailing Address
Mr. MARK TABAKA PA-C
11 ARKONA DR
HIGGANUM, CT 06441-4479
Phone number: 860-554-5021